Crystal Wellness Center Inc is a medicare enrolled "Nurse Practitioner" provider in San Antonio, Texas. Their current practice location is
6609 Blanco Rd Ste 335, San Antonio, Texas. You can reach out to their office (for appointments etc.) via phone at
(210) 455-1779.
Crystal Wellness Center Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Crystal Wellness Center Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124583349.
Healthcare Provider's Profile
Full Name | Crystal Wellness Center Inc |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 6609 Blanco Rd Ste 335, San Antonio, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124583349
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971843434
- Enrollment ID: O20190319002642
Medical Identifiers
Medical identifiers for Crystal Wellness Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124583349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (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.
Crystal Wellness Center Inc acts as a billing entity for following providers:
Provider Name | Violet K Dakora |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1831557982 PECOS PAC ID: 9638420169 Enrollment ID: I20180924000766 |
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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 Wellness Center Inc 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 Wellness Center Inc 116 Gallery Cir Ste 201, San Antonio, TX 78258-3341 Ph: (210) 802-4695 | Crystal Wellness Center Inc 6609 Blanco Rd Ste 335, San Antonio, TX 78216-4504 Ph: (210) 455-1779 |
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