Crystal Maleckas, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Richton, Mississippi. Her current practice location is
210 Bay Ave, Richton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 606-9934.
Crystal Maleckas is licensed to practice in Mississippi (license number D1841) 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 1457850703.
Healthcare Provider's Profile
Full Name | Crystal Maleckas |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 210 Bay Ave, Richton, Mississippi |
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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: 1457850703
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 02/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103187984
- Enrollment ID: I20230616002469
Medical Identifiers
Medical identifiers for Crystal Maleckas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457850703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D1841 (Mississippi) | 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 Maleckas allows following entities to bill medicare on her behalf.
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
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Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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. Crystal Maleckas 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 Maleckas, RD,LD 212 Lovewell Loop, Richton, MS 39476-7997 Ph: (601) 606-9934 | Crystal Maleckas, RD,LD 210 Bay Ave, Richton, MS 39476-9665 Ph: (601) 606-9934 |
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