Krystal L Gesicki, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Westlake, Ohio. Her current practice location is
24500 Center Ridge Rd Ste 120, Westlake, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 946-6925.
Krystal L Gesicki is licensed to practice in Ohio (license number I.1600727-SUPV) 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 1285094755.
Healthcare Provider's Profile
| Full Name | Krystal L Gesicki |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 24500 Center Ridge Rd Ste 120, Westlake, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285094755
- Provider Enumeration Date: 02/26/2016
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658658216
- Enrollment ID: I20170508002525
Medical Identifiers
Medical identifiers for Krystal L Gesicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285094755 | NPI | - | NPPES |
| 0192132 | Medicaid | OH | |
| I.1600727-SUPV | Other | OH | LICENSE |
| LICDC.161416 | Other | OH | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | S1200918 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161416 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1600727-SUPV (Ohio) | 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 L Gesicki allows following entities to bill medicare on her behalf.
| Entity Name | Alternative Paths Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194790311
PECOS PAC ID: 4385632983
Enrollment ID: O20040503001461 |
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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 L Gesicki 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 L Gesicki, LISW, LICDC
24500 Center Ridge Rd Ste 120,
Westlake, OH 44145-5602
Ph: (330) 946-6925 | Krystal L Gesicki, LISW, LICDC
24500 Center Ridge Rd Ste 120,
Westlake, OH 44145-5602
Ph: (330) 946-6925 |
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