Dr Crystal Marie Hickman Rodebaugh, MD is a medicare enrolled "Family Medicine" physician in Camden-on-gauley, West Virginia. She went to West Virginia University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Camden On Gauley Medical Center Inc and her current practice location is
10003 Webster Road, Camden-on-gauley, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 226-5725.
Dr Crystal Marie Hickman Rodebaugh is licensed to practice in West Virginia (license number 24041) 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 1568661064.
Physician's Profile
Full Name | Dr Crystal Marie Hickman Rodebaugh |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 18 Years |
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Location | 10003 Webster Road, Camden-on-gauley, West Virginia |
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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 Marie Hickman Rodebaugh attended and graduated from West Virginia University School Of Medicine in 2007
NPI Data:
- NPI Number: 1568661064
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 10/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 6002000635
- Enrollment ID: I20101027001574
Medical Identifiers
Medical identifiers for Dr Crystal Marie Hickman Rodebaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568661064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 24041 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Camden On Gauley Medical Center Inc | 6002867850 | 13 |
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 Marie Hickman Rodebaugh allows following entities to bill medicare on her behalf.
Entity Name | Camden On Gauley Medical Center Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1558340414 PECOS PAC ID: 6002867850 Enrollment ID: O20050209000321 |
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Entity Name | Camden On Gauley Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427585157 PECOS PAC ID: 6002867850 Enrollment ID: O20171010003869 |
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Entity Name | Camden On Gauley Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700312618 PECOS PAC ID: 6002867850 Enrollment ID: O20180413002227 |
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Entity Name | Camden On Gauley Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801493499 PECOS PAC ID: 6002867850 Enrollment ID: O20230629001639 |
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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 Crystal Marie Hickman Rodebaugh 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 Marie Hickman Rodebaugh, MD Po Box 69, Camden On Gauley, WV 26208-0069 Ph: () - | Dr Crystal Marie Hickman Rodebaugh, MD 10003 Webster Road, Camden-on-gauley, WV 26208-3702 Ph: (304) 226-5725 |
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