Dr David Bruce Crandall Jr, DO in Fort Drum, NY

Dr David Bruce Crandall Jr, DO is a medicare enrolled "Emergency Medicine" physician in Fort Drum, New York. His current practice location is 11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at (315) 772-4025.

Dr David Bruce Crandall Jr is licensed to practice in Indiana (license number 02003945) 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 1811906522.

Contact Information

	Dr David Bruce Crandall Jr, DO
	11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602-5004
	(315) 772-4025
	(315) 772-9498

Map and Direction

Physician's Profile

Full Name	Dr David Bruce Crandall Jr
Gender	Male
Speciality	Emergency Medicine
Location	11050 Mount Belvedere Blvd, Fort Drum, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811906522
Provider Enumeration Date: 08/05/2006
Last Update Date: 12/20/2011

Medicare PECOS Information:

PECOS PAC ID: 8921051962
Enrollment ID: I20150307000310

Medical Identifiers

Medical identifiers for Dr David Bruce Crandall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811906522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	1993 (West Virginia)	Secondary
207P00000X	Emergency Medicine	02003945 (Indiana)	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 David Bruce Crandall Jr allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947

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 David Bruce Crandall 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 David Bruce Crandall Jr, DO 11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602-5004 Ph: (315) 772-4025	Dr David Bruce Crandall Jr, DO 11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602-5004 Ph: (315) 772-4025

Reviews and Comments

Emergency Medicine Doctors in Fort Drum, NY

Dr. Isaac P Mills, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778
Dr. Jin Pyun, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 2nd St, Fort Drum, NY 13602 Phone: 315-772-8443
Dr. Soham Parikh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778
Spencer Kelley Heggers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-5505
Dr. Andrew Jerome Kosmowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
Bradley Alan Tait, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778
Dr. Mcdaniel Holloway, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Belevedere Blvd, Attn Jill Goodwin, Fort Drum, NY 13602 Phone: 469-524-1614

Dr David Bruce Crandall Jr, DO - Medicare Emergency Medicine in Fort Drum, NY