Dr Crystal Antoinettee Roach, MD, MPH is a medicare enrolled "Obstetrics & Gynecology" physician in Dundalk, Maryland. Her current practice location is
1576 Merritt Blvd Ste 16, Dundalk, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 650-2191.
Dr Crystal Antoinettee Roach is licensed to practice in Maryland (license number D0101342) 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 1710507876.
Physician's Profile
Full Name | Dr Crystal Antoinettee Roach |
---|
Gender | Female |
---|
Speciality | Obstetrics & Gynecology |
---|
Location | 1576 Merritt Blvd Ste 16, Dundalk, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710507876
- Provider Enumeration Date: 04/19/2020
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597205229
- Enrollment ID: I20240909004706
Medical Identifiers
Medical identifiers for Dr Crystal Antoinettee Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710507876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | D0101342 (Maryland) | 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 Crystal Antoinettee Roach allows following entities to bill medicare on her behalf.
Entity Name | Medstar Medical Group Ii Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
---|
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 Crystal Antoinettee Roach 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 Crystal Antoinettee Roach, MD, MPH 12520 Proxmire Dr, Fort Washington, MD 20744-5231 Ph: (410) 650-2191 | Dr Crystal Antoinettee Roach, MD, MPH 1576 Merritt Blvd Ste 16, Dundalk, MD 21222-2136 Ph: (410) 650-2191 |
Reviews and Comments