Crystal Gayle Coulter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Bentonville, Arkansas. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Arkansas, Llc and her current practice location is
1101 Thornridge Rd, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(731) 803-2022.
Crystal Gayle Coulter is licensed to practice in Arkansas (license number C003164) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841642147.
Physician's Profile
Full Name | Crystal Gayle Coulter |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 8 Years |
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Location | 1101 Thornridge Rd, Bentonville, Arkansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Crystal Gayle Coulter graduated from medical school in 2016
NPI Data:
- NPI Number: 1841642147
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 07/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961799804
- Enrollment ID: I20160921000941
Medical Identifiers
Medical identifiers for Crystal Gayle Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841642147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | C003164 (Arkansas) | Secondary |
163W00000X | Registered Nurse | R079247 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C003164 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 73 |
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. Crystal Gayle Coulter allows following entities to bill medicare on her behalf.
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
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Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
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Entity Name | Orthomed Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20211230001313 |
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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 Gayle Coulter 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 Gayle Coulter, CRNA 1101 Thornridge Rd, Bentonville, AR 72713-8321 Ph: (731) 803-2022 | Crystal Gayle Coulter, CRNA 1101 Thornridge Rd, Bentonville, AR 72713-8321 Ph: (731) 803-2022 |
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