Dr Crystall Matthews-wells, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dunn, North Carolina. Her current practice location is
731 Tilghman Dr, Dunn, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 249-4219.
Dr Crystall Matthews-wells is licensed to practice in North Carolina (license number 4775) 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 1609112762.
Healthcare Provider's Profile
| Full Name | Dr Crystall Matthews-wells |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 731 Tilghman Dr, Dunn, North Carolina |
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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: 1609112762
- Provider Enumeration Date: 12/18/2012
- Last Update Date: 08/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 7214245869
- Enrollment ID: I20150930002169
Medical Identifiers
Medical identifiers for Dr Crystall Matthews-wells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609112762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 020850 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4775 (North Carolina) | 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. Dr Crystall Matthews-wells allows following entities to bill medicare on her behalf.
| Entity Name | Tricare Counseling & Consulting, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225343502
PECOS PAC ID: 7416137096
Enrollment ID: O20110215000120 |
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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. Dr Crystall Matthews-wells 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 |
|---|
Dr Crystall Matthews-wells, PHD
731 Tilghman Dr,
Dunn, NC 28334-5507
Ph: (910) 249-4219 | Dr Crystall Matthews-wells, PHD
731 Tilghman Dr,
Dunn, NC 28334-5507
Ph: (910) 249-4219 |
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