Krystal Roberts, LCSW - Medicare Clinical Social Worker in Kenosha, WI

Krystal Roberts, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 6121 Green Bay Rd Ste 200, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 864-1141.

Krystal Roberts is licensed to practice in Wisconsin (license number 9838-123) 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 1356093678.

Contact Information

Krystal Roberts, LCSW
6121 Green Bay Rd Ste 200,
Kenosha, WI 53142-2931
(262) 864-1141
(262) 351-0132



Healthcare Provider's Profile

Full NameKrystal Roberts
GenderFemale
SpecialitySocial Worker - Clinical
Location6121 Green Bay Rd Ste 200, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356093678
  • Provider Enumeration Date: 01/19/2022
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103291992
  • Enrollment ID: I20230410000590

Medical Identifiers

Medical identifiers for Krystal Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356093678NPI-NPPES
100215279MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9838-123 (Wisconsin)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 Roberts allows following entities to bill medicare on her behalf.
Entity NameTotal Life Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20221205000058

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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 Roberts 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 AddressPractice Location Address
Krystal Roberts, LCSW
7721 Pershing Blvd,
Kenosha, WI 53142-4319

Ph: (262) 383-5420
Krystal Roberts, LCSW
6121 Green Bay Rd Ste 200,
Kenosha, WI 53142-2931

Ph: (262) 864-1141

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Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144
Phone: 262-842-0500    Fax: 262-842-0502
Kathryn Ann Aalto, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140
Phone: 262-654-9370    Fax: 262-654-9379
David S Meyers, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 920 60th St, Kenosha, WI 53140
Phone: 262-654-5333    Fax: 262-654-7818
Nicholas Olsen, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142
Phone: 262-674-3718    
Shonda Lynn Gagliano, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 7723 32nd Ave, Kenosha, WI 53142
Phone: 262-573-4549    
Victoria Mahboub, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6014 41st Ave, Kenosha, WI 53142
Phone: 262-818-3531    
Jennifer Brau, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4633 Washington Rd, Kenosha, WI 53144
Phone: 262-652-7222    

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