Dr Crystal Lane Tate, MD is a medicare enrolled "Family Medicine" physician in Ecru, Mississippi. Her current practice location is
375 Main St, Ecru, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 489-5609.
Dr Crystal Lane Tate is licensed to practice in Mississippi (license number 13565) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255390472.
Physician's Profile
Full Name | Dr Crystal Lane Tate |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 375 Main St, Ecru, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Crystal Lane Tate attended and graduated from in
NPI Data:
- NPI Number: 1255390472
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 12/04/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Crystal Lane Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255390472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 13565 (Mississippi) | Primary |
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 Lane Tate 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 Lane Tate, MD Po Box 492, Ecru, MS 38841-0492 Ph: (662) 489-5609 | Dr Crystal Lane Tate, MD 375 Main St, Ecru, MS 38841-9118 Ph: (662) 489-5609 |
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