Crystal L Phillips, DDS in Grove, OK - Medicare Dentist Provider

Crystal L Phillips, DDS is a medicare enrolled "Dentist" provider in Grove, Oklahoma. Her current practice location is 2610 Shasten St, Grove, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 786-5735.

Crystal L Phillips is licensed to practice in Oklahoma (license number 5852) 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 1124100243.

Contact Information

	Crystal L Phillips, DDS
	2610 Shasten St, Grove, OK 74344-4904
	(918) 786-5735
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal L Phillips
Gender	Female
Speciality	Dentist
Location	2610 Shasten St, Grove, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124100243
Provider Enumeration Date: 10/19/2006
Last Update Date: 06/17/2011

Medicare PECOS Information:

PECOS PAC ID: 3779874649
Enrollment ID: I20210601002381

Medical Identifiers

Medical identifiers for Crystal L Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124100243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5852 (Oklahoma)	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 L Phillips allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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 L Phillips 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 L Phillips, DDS 2610 Shasten St, Grove, OK 74344-4904 Ph: (918) 786-5735	Crystal L Phillips, DDS 2610 Shasten St, Grove, OK 74344-4904 Ph: (918) 786-5735

Reviews and Comments

Dentist in Grove, OK

Dr. Raegan Vaughan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 S Main St, Grove, OK 74344 Phone: 918-786-5533
John Kendall Maravich, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6826 Highway 59 N, Grove, OK 74344 Phone: 918-786-9061
Audrey Lea Crawford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 S Main, Grove, OK 74344 Phone: 918-786-5533 Fax: 918-797-8800
Dr. Scott Kevin Brecheisen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 57 Heffelman Dr, Grove, OK 74344 Phone: 918-786-5533 Fax: 918-336-5584
Elgin Ray Strahm, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 S Broadway St, Grove, OK 74344 Phone: 918-787-6204 Fax: 918-787-6209
Dr. Karl R Jobst, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 E 18th St, Grove, OK 74344 Phone: 918-787-5800 Fax: 918-787-5788

Crystal L Phillips, DDS - Medicare Dentist in Grove, OK