Crystal Needham, is a medicare enrolled "Counselor" provider in Quinton, Oklahoma. Her current practice location is
104 W Ep 2030 St, Quinton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 429-2649.
Crystal Needham is licensed to practice in * (Not Available) (license number ) 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 1033480033.
Healthcare Provider's Profile
Full Name | Crystal Needham |
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Gender | Female |
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Speciality | Counselor |
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Location | 104 W Ep 2030 St, Quinton, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033480033
- Provider Enumeration Date: 01/23/2012
- Last Update Date: 01/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769835735
- Enrollment ID: I20240125002601
Medical Identifiers
Medical identifiers for Crystal Needham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033480033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (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. Crystal Needham allows following entities to bill medicare on her behalf.
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
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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. Crystal Needham 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 |
Crystal Needham, 104 W Ep 2030 St, Quinton, OK 74561-1066 Ph: () - | Crystal Needham, 104 W Ep 2030 St, Quinton, OK 74561-1066 Ph: (918) 429-2649 |
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