Crystal Marie Cmeyla, is a medicare enrolled "Nurse Practitioner - Family" physician in Greenville, South Carolina. Her current practice location is
701 Grove Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 522-4880.
Crystal Marie Cmeyla is licensed to practice in South Carolina (license number 23067) 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 1083256382.
Physician's Profile
| Full Name | Crystal Marie Cmeyla |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 701 Grove Rd, Greenville, South Carolina |
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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: 1083256382
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648602102
- Enrollment ID: I20191121001482
Medical Identifiers
Medical identifiers for Crystal Marie Cmeyla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083256382 | NPI | - | NPPES |
| NP6290 | Medicaid | SC | |
| NP2690 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 23067 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23067 (South 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. Crystal Marie Cmeyla allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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 Marie Cmeyla 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 |
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Crystal Marie Cmeyla,
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Crystal Marie Cmeyla,
701 Grove Rd,
Greenville, SC 29605-4210
Ph: (864) 522-4880 |
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