Sandra Crum-stevens, DMD is a medicare enrolled "Dentist" provider in Clay City, Kentucky. Her current practice location is
98 River Street Suite A, Clay City, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 663-5473.
Sandra Crum-stevens is licensed to practice in Kentucky (license number KY6977) 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 1487793113.
Healthcare Provider's Profile
Full Name | Sandra Crum-stevens |
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Gender | Female |
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Speciality | Dentist |
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Location | 98 River Street Suite A, Clay City, Kentucky |
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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: 1487793113
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305129040
- Enrollment ID: I20170203000969
Medical Identifiers
Medical identifiers for Sandra Crum-stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487793113 | NPI | - | NPPES |
60069770 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | KY6977 (Kentucky) | 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. Sandra Crum-stevens allows following entities to bill medicare on her behalf.
Entity Name | Special Care Dental Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295007383 PECOS PAC ID: 2769763879 Enrollment ID: O20170104001074 |
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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. Sandra Crum-stevens 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 |
Sandra Crum-stevens, DMD 98 River Street Suite A, P.o. Box 607, Clay City, KY 40312 Ph: (606) 663-5473 | Sandra Crum-stevens, DMD 98 River Street Suite A, Clay City, KY 40312 Ph: (606) 663-5473 |
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