Dustin Michael Crovo, FNP, AG-ACNP, ENP is a medicare enrolled "Nurse Practitioner - Family" physician in Arlington, Virginia. His current practice location is
1201 S Hayes St, Arlington, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 418-3790.
Dustin Michael Crovo is licensed to practice in Virginia (license number 0024180482) 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 1730707589.
Physician's Profile
| Full Name | Dustin Michael Crovo |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1201 S Hayes St, Arlington, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1730707589
- Provider Enumeration Date: 07/08/2020
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476970807
- Enrollment ID: I20200901000302
Medical Identifiers
Medical identifiers for Dustin Michael Crovo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730707589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 11007688 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024180482 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024180482 (Virginia) | 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. Dustin Michael Crovo allows following entities to bill medicare on his behalf.
| Entity Name | Fl-i Medical Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750655106
PECOS PAC ID: 9133381809
Enrollment ID: O20120426000191 |
|---|
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. Dustin Michael Crovo 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 |
|---|
Dustin Michael Crovo, FNP, AG-ACNP, ENP
178 Zeus Mill Ln,
Madison, VA 22727-3110
Ph: (321) 223-1723 | Dustin Michael Crovo, FNP, AG-ACNP, ENP
1201 S Hayes St,
Arlington, VA 22202-2700
Ph: (703) 418-3790 |
Reviews and Comments