Crystal Michelle White, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Colorado Springs, Colorado. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergency Medical Specialists, P.c. and her current practice location is
1400 E Boulder St, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 365-5000.
Crystal Michelle White is licensed to practice in Texas (license number AP145916) 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 1205310844.
Physician's Profile
| Full Name | Crystal Michelle White |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1400 E Boulder St, Colorado Springs, Colorado |
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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. |
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Medical Education and Training:
- Crystal Michelle White graduated from medical school in 2020
NPI Data:
- NPI Number: 1205310844
- Provider Enumeration Date: 09/19/2018
- Last Update Date: 08/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709130909
- Enrollment ID: I20181106002167
Medical Identifiers
Medical identifiers for Crystal Michelle White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205310844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | APN.0994149-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP145916 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergency Medical Specialists, P.c. | 2860489242 | 76 |
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 Michelle White allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Medical Specialists, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194708073
PECOS PAC ID: 2860489242
Enrollment ID: O20040428000221 |
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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 Michelle White 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 Michelle White, NURSE PRACTITIONER
Po Box 173891,
Denver, CO 80217-3891
Ph: (303) 306-7783 | Crystal Michelle White, NURSE PRACTITIONER
1400 E Boulder St,
Colorado Springs, CO 80909-5533
Ph: (719) 365-5000 |
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