David Walton Crasto Jr, DO is a medicare enrolled "Dermatology" physician in Dania, Florida. His current practice location is
154 S Compass Way, Dania, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 807-9433.
David Walton Crasto Jr is licensed to practice in Florida (license number OS17041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043771306.
Physician's Profile
| Full Name | David Walton Crasto Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 154 S Compass Way, Dania, Florida |
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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: 1043771306
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 10/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355673906
- Enrollment ID: I20240807004545
Medical Identifiers
Medical identifiers for David Walton Crasto Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043771306 | NPI | - | NPPES |
| 17041 | Other | FL | OSTEOPATHIC MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | OS17041 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. David Walton Crasto Jr allows following entities to bill medicare on his behalf.
| Entity Name | Aqua Dermatology Of Georgia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114022167
PECOS PAC ID: 6800885757
Enrollment ID: O20040507000201 |
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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. David Walton Crasto Jr 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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David Walton Crasto Jr, DO
4030 Dogwood Dr,
Jackson, MS 39211-6607
Ph: (601) 613-7424 | David Walton Crasto Jr, DO
154 S Compass Way,
Dania, FL 33004-2368
Ph: (954) 807-9433 |
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