Dr Angela Faye Crisp, MD is a medicare enrolled "Ophthalmology" physician in Horseheads, New York. Her current practice location is
31 Arnot Rd, Horseheads, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 795-5182.
Dr Angela Faye Crisp is licensed to practice in New York (license number 271510) 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 1376547273.
Physician's Profile
| Full Name | Dr Angela Faye Crisp |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Location | 31 Arnot Rd, Horseheads, New York |
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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: 1376547273
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 09/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678585973
- Enrollment ID: I20131024001402
Medical Identifiers
Medical identifiers for Dr Angela Faye Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376547273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 271510 (New York) | 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. Dr Angela Faye Crisp allows following entities to bill medicare on her behalf.
| Entity Name | Guthrie Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962451153
PECOS PAC ID: 6002728656
Enrollment ID: O20040301000571 |
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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. Dr Angela Faye Crisp 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 |
|---|
Dr Angela Faye Crisp, MD
1 Guthrie Sq,
Sayre, PA 18840-1625
Ph: (570) 888-5858 | Dr Angela Faye Crisp, MD
31 Arnot Rd,
Horseheads, NY 14845-8533
Ph: (607) 795-5182 |
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