Amy Bryce Crum, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Wayzata, Minnesota. Her current practice location is
1250 Wayzata Blvd E, Wayzata, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 345-0766.
Amy Bryce Crum is licensed to practice in Minnesota (license number 3390) 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 1407509813.
Healthcare Provider's Profile
| Full Name | Amy Bryce Crum |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1250 Wayzata Blvd E, Wayzata, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407509813
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 01/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234511866
- Enrollment ID: I20220729000572
Medical Identifiers
Medical identifiers for Amy Bryce Crum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407509813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 3390 (Minnesota) | 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. Amy Bryce Crum allows following entities to bill medicare on her behalf.
| Provider Name | Nutritional Weight & Wellness Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1700024890
PECOS PAC ID: 3577820703
Enrollment ID: O20171127001217 |
|---|
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. Amy Bryce Crum 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 |
|---|
Amy Bryce Crum, MS, RD, LD
15809 White Pine Dr,
Wayzata, MN 55391-2122
Ph: (512) 796-1880 | Amy Bryce Crum, MS, RD, LD
1250 Wayzata Blvd E,
Wayzata, MN 55391-1951
Ph: (952) 345-0766 |
Reviews and Comments