Adam Kemp Crandell, DO is a medicare enrolled "General Practice" physician in Sierra Vista, Arizona. His current practice location is
Canyon Vista Medical Center 5700 E Highway 90, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 263-3161.
Adam Kemp Crandell is licensed to practice in Arizona (license number 010101) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194393868.
Physician's Profile
Full Name | Adam Kemp Crandell |
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Gender | Male |
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Speciality | General Practice |
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Location | Canyon Vista Medical Center 5700 E Highway 90, Sierra Vista, Arizona |
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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: 1194393868
- Provider Enumeration Date: 06/17/2021
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345603767
- Enrollment ID: I20240222001230
Medical Identifiers
Medical identifiers for Adam Kemp Crandell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194393868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 010101 (Arizona) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Adam Kemp Crandell allows following entities to bill medicare on his behalf.
Entity Name | Jeffrey Wilde Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518515683 PECOS PAC ID: 6901138049 Enrollment ID: O20191023000751 |
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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. Adam Kemp Crandell 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 |
Adam Kemp Crandell, DO 122 E Main St, Payson, AZ 85541-5574 Ph: () - | Adam Kemp Crandell, DO Canyon Vista Medical Center 5700 E Highway 90, Sierra Vista, AZ 85635 Ph: (520) 263-3161 |
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