Cathryn Mary Crow, AGACNP-BC is a medicare enrolled "Nurse Practitioner" physician in Detroit, Michigan. Her current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 916-2600.
Cathryn Mary Crow is licensed to practice in Michigan (license number 4704311340) 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 1659055945.
Physician's Profile
Full Name | Cathryn Mary Crow |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2799 W Grand Blvd, Detroit, Michigan |
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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: 1659055945
- Provider Enumeration Date: 06/15/2023
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840659603
- Enrollment ID: I20230711003433
Medical Identifiers
Medical identifiers for Cathryn Mary Crow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659055945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 4704311340 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704311340 (Michigan) | 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. Cathryn Mary Crow allows following entities to bill medicare on her behalf.
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
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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. Cathryn Mary Crow 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 |
Cathryn Mary Crow, AGACNP-BC 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-2600 | Cathryn Mary Crow, AGACNP-BC 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-2600 |
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