Dr Calvin Keith Craig, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Sedro Woolley, Washington. His current practice location is
1990 Hospital Dr Ste 100, Sedro Woolley, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 856-8800.
Dr Calvin Keith Craig is licensed to practice in Washington (license number MD61343735) 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 1043732415.
Physician's Profile
Full Name | Dr Calvin Keith Craig |
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Gender | Male |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 1990 Hospital Dr Ste 100, Sedro Woolley, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043732415
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 05/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830460906
- Enrollment ID: I20230606001777
Medical Identifiers
Medical identifiers for Dr Calvin Keith Craig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043732415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD61343735 (Washington) | Secondary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | MD61343735 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Massachusetts) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD61343735 (Washington) | 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 Calvin Keith Craig allows following entities to bill medicare on his behalf.
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062 |
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Entity Name | Mt Baker Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295725133 PECOS PAC ID: 7113963802 Enrollment ID: O20050705000191 |
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Entity Name | Peacehealth Medical Group - Sedro Woolley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293 |
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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 Calvin Keith Craig 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 Calvin Keith Craig, MD Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 Ph: (413) 794-0000 | Dr Calvin Keith Craig, MD 1990 Hospital Dr Ste 100, Sedro Woolley, WA 98284-9315 Ph: (360) 856-8800 |
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