Mary D Crumpton, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Yanceyville, North Carolina. Her current practice location is
649 Firetower Rd., Yanceyville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 694-4857.
Mary D Crumpton is licensed to practice in North Carolina (license number L001650) 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 1679862890.
Healthcare Provider's Profile
| Full Name | Mary D Crumpton |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 649 Firetower Rd., Yanceyville, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1679862890
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 04/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294758678
- Enrollment ID: I20060111001062
Medical Identifiers
Medical identifiers for Mary D Crumpton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679862890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 727007 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | L001650 (North Carolina) | 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. Mary D Crumpton allows following entities to bill medicare on her behalf.
| Provider Name | Piedmont Triad Regional Council |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1215485024
PECOS PAC ID: 9234495227
Enrollment ID: O20171107003168 |
|---|
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. Mary D Crumpton 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 |
|---|
Mary D Crumpton, RD, LDN
1398 Carrollton Crossing Dr,
Kernersville, NC 27284-3896
Ph: (336) 904-0300 | Mary D Crumpton, RD, LDN
649 Firetower Rd.,
Yanceyville, NC 27379
Ph: (336) 694-4857 |
Reviews and Comments