Dr Crystalia S Weidner, PHD, HSPP is a medicare enrolled "Psychologist" provider in Dallas, Texas. She graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is
1430 Empire Central Dr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-8500.
Dr Crystalia S Weidner is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871072348.
Healthcare Provider's Profile
| Full Name | Dr Crystalia S Weidner |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 6 Years |
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| Location | 1430 Empire Central Dr, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Crystalia S Weidner graduated from medical school in 2019
NPI Data:
- NPI Number: 1871072348
- Provider Enumeration Date: 08/07/2018
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840601670
- Enrollment ID: I20221019000301
Medical Identifiers
Medical identifiers for Dr Crystalia S Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871072348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
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 Crystalia S Weidner allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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 Crystalia S Weidner 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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Dr Crystalia S Weidner, PHD, HSPP
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-0624 | Dr Crystalia S Weidner, PHD, HSPP
1430 Empire Central Dr,
Dallas, TX 75247-4032
Ph: (214) 645-8500 |
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