Dr Crystal Vernon, MD in Clarksville, TN

Dr Crystal Vernon, MD is a medicare enrolled "Pediatrics" physician in Clarksville, Tennessee. Her current practice location is 490 Dunlop Ln, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 245-7000.

Dr Crystal Vernon is licensed to practice in Tennessee (license number 41346) 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 1336163948.

Contact Information

	Dr Crystal Vernon, MD
	490 Dunlop Ln, Clarksville, TN 37040-5007
	(931) 245-7000
	(931) 245-7069

Map and Direction

Physician's Profile

Full Name	Dr Crystal Vernon
Gender	Female
Speciality	Pediatrics
Location	490 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336163948
Provider Enumeration Date: 07/27/2006
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5092712679
Enrollment ID: I20181112001460

Medical Identifiers

Medical identifiers for Dr Crystal Vernon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336163948	NPI	-	NPPES
Q010124	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	41346 (Tennessee)	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 Vernon allows following entities to bill medicare on her behalf.

Entity Name	Premier Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740242957 PECOS PAC ID: 9739084088 Enrollment ID: O20031201000512

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 Vernon 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 Vernon, MD Po Box 3799, Clarksville, TN 37043-3799 Ph: (931) 245-7000	Dr Crystal Vernon, MD 490 Dunlop Ln, Clarksville, TN 37040-5007 Ph: (931) 245-7000

Reviews and Comments

Pediatrics Doctors in Clarksville, TN

Dr. Joel F Bradley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465
Megan Guerra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Genevieve Mae Febbraro, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Dr. Barbara A Aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Dr. Shahana Ashraf Choudhury, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Weatherly Dr, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
William Joel Pedigo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-7068
Dr. William W Prine, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465

Dr Crystal Vernon, MD - Medicare Pediatrics in Clarksville, TN