Krystal Koru Lynn-tolson, LPC is a medicare enrolled "Counselor - Professional" provider in Gouldsboro, Pennsylvania. Her current practice location is
278 Packanack Drive, Gouldsboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 877-0820.
Krystal Koru Lynn-tolson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336799550.
Healthcare Provider's Profile
Full Name | Krystal Koru Lynn-tolson |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 278 Packanack Drive, Gouldsboro, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336799550
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628507589
- Enrollment ID: I20250123000025
Medical Identifiers
Medical identifiers for Krystal Koru Lynn-tolson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336799550 | NPI | - | NPPES |
PC017222 | Other | PA | PENNSYLVANIA STATE BOARD OF PROFESSIONAL COUNSELORS |
82552 | Other | TX | TEXAS STATE BOARD OF PROFESSIONAL COUNSELORS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 82552 (Texas) | Secondary |
101YP2500X | Counselor - Professional | PC017222 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystal Koru Lynn-tolson allows following entities to bill medicare on her behalf.
Entity Name | Counseling & Wellness Center Of Scranton Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992118111 PECOS PAC ID: 3072900547 Enrollment ID: O20220502001393 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Koru Lynn-tolson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Krystal Koru Lynn-tolson, LPC Po Box 888, Gouldsboro, PA 18424-0888 Ph: (570) 877-0820 | Krystal Koru Lynn-tolson, LPC 278 Packanack Drive, Gouldsboro, PA 18424 Ph: (570) 877-0820 |
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