Dr Charles Ray Crispen Jr, DO in Las Vegas, NV

Dr Charles Ray Crispen Jr, DO is a medicare enrolled "Pediatrics" physician in Las Vegas, Nevada. His current practice location is 2604 High Range Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 522-9203.

Dr Charles Ray Crispen Jr is licensed to practice in Nevada (license number DO1575) 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 1750365409.

Contact Information

	Dr Charles Ray Crispen Jr, DO
	2604 High Range Dr, Las Vegas, NV 89134-7564
	(702) 522-9203
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles Ray Crispen Jr
Gender	Male
Speciality	Pediatrics
Location	2604 High Range Dr, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750365409
Provider Enumeration Date: 12/05/2005
Last Update Date: 04/17/2014

Medicare PECOS Information:

PECOS PAC ID: 2769391333
Enrollment ID: I20040512001336

Medical Identifiers

Medical identifiers for Dr Charles Ray Crispen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750365409	NPI	-	NPPES
299499	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO14538 (Oregon)	Secondary
208000000X	Pediatrics	DO1575 (Nevada)	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 Charles Ray Crispen Jr allows following entities to bill medicare on his behalf.

Entity Name	Lane County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023

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 Charles Ray Crispen 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
Dr Charles Ray Crispen Jr, DO 2604 High Range Drive, Las Vegas, NV 89134 Ph: (702) 522-9203	Dr Charles Ray Crispen Jr, DO 2604 High Range Dr, Las Vegas, NV 89134-7564 Ph: (702) 522-9203

Reviews and Comments

Pediatrics Doctors in Las Vegas, NV

Randi E Lampert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128 Phone: 702-228-9066
Sora Song, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109 Phone: 702-457-5437 Fax: 702-464-5801
Dr. Noah Benjamin Kohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 888-456-2467
David Blank, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144 Phone: 702-260-4525 Fax: 702-869-0133
Vicki Hom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4570 S. Eastern Ave, Suite #21, Las Vegas, NV 89119 Phone: 702-733-6033 Fax: 702-733-6033
Ms. Elsa H Von Schulenburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107 Phone: 702-851-3572 Fax: 702-851-3574
Ruben J Acherman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169 Phone: 702-732-1290 Fax: 702-732-1385

Dr Charles Ray Crispen Jr, DO - Medicare Pediatrics in Las Vegas, NV