Nicholas Sinar Crisp, is a medicare enrolled "Social Worker - Clinical" provider in Miami, Oklahoma. His current practice location is
111 S Treaty Rd, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 610-3644.
Nicholas Sinar Crisp is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427578186.
Healthcare Provider's Profile
Full Name | Nicholas Sinar Crisp |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 111 S Treaty Rd, Miami, 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: 1427578186
- Provider Enumeration Date: 06/23/2017
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577982420
- Enrollment ID: I20200928000842
Medical Identifiers
Medical identifiers for Nicholas Sinar Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427578186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (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. Nicholas Sinar Crisp allows following entities to bill medicare on his behalf.
Entity Name | Improving Lives Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487967444 PECOS PAC ID: 3870818230 Enrollment ID: O20150206001731 |
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Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20230125003168 |
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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. Nicholas Sinar Crisp 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 |
Nicholas Sinar Crisp, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (405) 610-3644 | Nicholas Sinar Crisp, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (405) 610-3644 |
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