Mr Kristian Glynn Travis, in Salem, MA - Medicare Counselor Provider

Mr Kristian Glynn Travis, is a medicare enrolled "Counselor - Mental Health" provider in Salem, Massachusetts. His current practice location is 110 Boston St, Salem, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 744-7905.

Mr Kristian Glynn Travis is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295348233.

Contact Information

	Mr Kristian Glynn Travis,
	110 Boston St, Salem, MA 01970-1402
	(978) 744-7905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kristian Glynn Travis
Gender	Male
Speciality	Counselor - Mental Health
Location	110 Boston St, Salem, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295348233
Provider Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020

Medicare PECOS Information:

PECOS PAC ID: 1254865280
Enrollment ID: I20241113000485

Medical Identifiers

Medical identifiers for Mr Kristian Glynn Travis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295348233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Mr Kristian Glynn Travis allows following entities to bill medicare on his behalf.

Entity Name	Justice Resource Institute, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093787095 PECOS PAC ID: 3274430590 Enrollment ID: O20031216000089

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. Mr Kristian Glynn Travis 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
Mr Kristian Glynn Travis, 110 Boston St, Salem, MA 01970-1402 Ph: () -	Mr Kristian Glynn Travis, 110 Boston St, Salem, MA 01970-1402 Ph: (978) 744-7905

Reviews and Comments

Counselor in Salem, MA

Miss Gina Marie Rabbitt, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lafayette St, Salem, MA 01970 Phone: 978-744-1386 Fax: 978-740-4996
Sonya Pelletier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St, Suite 214, Salem, MA 01970 Phone: 978-542-1951 Fax: 978-542-1954
Heather Breen Nore, COUNSELING INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Highland Ave, Salem, MA 01970 Phone: 978-573-4310
Caitlin Molly Axelrod-mcleod, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St, Suite 214, Salem, MA 01970 Phone: 978-688-5222
Caitlin Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Washington St Ste 206, Salem, MA 01970 Phone: 978-306-2742
Stephen Dennesen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St Ste 214, Salem, MA 01970 Phone: 978-542-1951
Mrs. Sarah Emily Blacker, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Forrester St # 2, Salem, MA 01970 Phone: 617-233-7771

Mr Kristian Glynn Travis, - Medicare Counselor in Salem, MA