Krystal Elaine Hawks, RD is a medicare enrolled "Dietitian, Registered" provider in Northfield, Ohio. Her current practice location is
90 Karen Ln, Northfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 998-2036.
Krystal Elaine Hawks is licensed to practice in Pennsylvania (license number DN007124) 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 1437779832.
Healthcare Provider's Profile
| Full Name | Krystal Elaine Hawks |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 90 Karen Ln, Northfield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437779832
- Provider Enumeration Date: 04/26/2020
- Last Update Date: 03/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769867613
- Enrollment ID: I20220914000653
Medical Identifiers
Medical identifiers for Krystal Elaine Hawks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437779832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD.09102 (Ohio) | Secondary |
| 133V00000X | Dietitian, Registered | DN007124 (Pennsylvania) | 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. Krystal Elaine Hawks allows following entities to bill medicare on her behalf.
| Provider Name | Emily Program Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528165065
PECOS PAC ID: 5193623254
Enrollment ID: O20210604000498 |
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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. Krystal Elaine Hawks 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 |
|---|
Krystal Elaine Hawks, RD
90 Karen Ln,
Northfield, OH 44067-2750
Ph: (330) 968-8602 | Krystal Elaine Hawks, RD
90 Karen Ln,
Northfield, OH 44067-2750
Ph: (330) 998-2036 |
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