Dr Krystina Lauren Quow, MD is a medicare enrolled "Dermatology" physician in Southern Pines, North Carolina. Her current practice location is
200 Pavilion Way, Southern Pines, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 235-3330.
Dr Krystina Lauren Quow is licensed to practice in North Carolina (license number 238749) 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 1104316207.
Physician's Profile
Full Name | Dr Krystina Lauren Quow |
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Gender | Female |
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Speciality | Dermatology |
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Location | 200 Pavilion Way, Southern Pines, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104316207
- Provider Enumeration Date: 05/14/2018
- Last Update Date: 07/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173878006
- Enrollment ID: I20220801002881
Medical Identifiers
Medical identifiers for Dr Krystina Lauren Quow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104316207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 238749 (North Carolina) | 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 Krystina Lauren Quow allows following entities to bill medicare on her behalf.
Entity Name | Pinehurst Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
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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 Krystina Lauren Quow 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 Krystina Lauren Quow, MD 200 Pavilion Way, Southern Pines, NC 28387-4561 Ph: () - | Dr Krystina Lauren Quow, MD 200 Pavilion Way, Southern Pines, NC 28387-4561 Ph: (910) 235-3330 |
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