Ms Kristy Bazzanella, LPC is a medicare enrolled "Counselor - Mental Health" provider in Mineral, Virginia. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
315 Johnny Hall Rd, Mineral, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 604-3267.
Ms Kristy Bazzanella is licensed to practice in Virginia (license number 0701006594) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1174979207.
Healthcare Provider's Profile
| Full Name | Ms Kristy Bazzanella |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 13 Years |
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| Location | 315 Johnny Hall Rd, Mineral, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kristy Bazzanella graduated from medical school in 2013
NPI Data:
- NPI Number: 1174979207
- Provider Enumeration Date: 05/07/2016
- Last Update Date: 09/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 6406135490
- Enrollment ID: I20260327003514
Medical Identifiers
Medical identifiers for Ms Kristy Bazzanella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174979207 | NPI | - | NPPES |
| 601092978 | Medicaid | VA | |
| 601101224 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0701006594 (Virginia) | 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. Ms Kristy Bazzanella allows following entities to bill medicare on her behalf.
| Entity Name | Louisa Creative Counseling, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225484348
PECOS PAC ID: 8123503182
Enrollment ID: O20260327003391 |
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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. Ms Kristy Bazzanella 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 |
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Ms Kristy Bazzanella, LPC
7036 Zachary Taylor Hwy,
Mineral, VA 23117-5312
Ph: (540) 604-3267 | Ms Kristy Bazzanella, LPC
315 Johnny Hall Rd,
Mineral, VA 23117-5202
Ph: (540) 604-3267 |
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