Crystal Tank, MD in Glen Ridge, NJ - Medicare Internal Medicine

Crystal Tank, MD is a medicare enrolled "Internal Medicine" physician in Glen Ridge, New Jersey. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mpv New Jersey Md Services Pc and her current practice location is 311 Bay Ave, Mmg Internal Med, Glen Ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 748-9246.

Crystal Tank is licensed to practice in New Jersey (license number 25MA10421000) 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 1043639453.

Contact Information

	Crystal Tank, MD
	311 Bay Ave, Mmg Internal Med, Glen Ridge, NJ 07028
	(973) 748-9246
	(973) 748-8755

Map and Direction

Physician's Profile

Full Name	Crystal Tank
Gender	Female
Speciality	Internal Medicine
Experience	10 Years
Location	311 Bay Ave, Glen Ridge, New Jersey
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 Tank attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2014

NPI Data:

NPI Number: 1043639453
Provider Enumeration Date: 04/14/2014
Last Update Date: 02/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2163766312
Enrollment ID: I20181129001466

Medical Identifiers

Medical identifiers for Crystal Tank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043639453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA10421000 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hackensackumc Mountainside	Montclair, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mpv New Jersey Md Services Pc	5991097669	122

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 Tank allows following entities to bill medicare on her behalf.

Entity Name	Crystal Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740546621 PECOS PAC ID: 4385806827 Enrollment ID: O20120430000678

Entity Name	Mpv New Jersey Md Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215391271 PECOS PAC ID: 5991097669 Enrollment ID: O20160718000760

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 Tank 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 Tank, MD Po Box 419430, Boston, MA 02241-9430 Ph: (201) 967-8221	Crystal Tank, MD 311 Bay Ave, Mmg Internal Med, Glen Ridge, NJ 07028 Ph: (973) 748-9246

Reviews and Comments

Internal Medicine Doctors in Glen Ridge, NJ

Dusan Knezevic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave, Suite 302, Glen Ridge, NJ 07028 Phone: 973-748-9555 Fax: 973-748-2003
Joseph Degregorio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 946 Bloomfield Avenue, Glen Ridge, NJ 07028 Phone: 973-743-1121 Fax: 973-743-2627
Benjamin Herbert Safirstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave, Suite 101, Glen Ridge, NJ 07028 Phone: 973-744-9125 Fax: 973-744-0280
Mazin Khalid, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 946 Bloomfield Ave, Glen Ridge, NJ 07028 Phone: 973-743-1121 Fax: 973-743-2627
Dr. Paul Woroch, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave, Suite 201, Glen Ridge, NJ 07028 Phone: 973-748-9246 Fax: 973-748-8755
Dr. Marlyn Fernandez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave Ste 301, Glen Ridge, NJ 07028 Phone: 973-744-3733 Fax: 973-707-5821

Crystal Tank, MD - Medicare Internal Medicine in Glen Ridge, NJ