Maureen Kleyla Crispin, in Terre Haute, IN

Maureen Kleyla Crispin, is a medicare enrolled "Pediatrics" physician in Terre Haute, Indiana. Her current practice location is 221 S 6th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 242-3157.

Maureen Kleyla Crispin is licensed to practice in Indiana (license number 01076445A) 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 1366784753.

Contact Information

	Maureen Kleyla Crispin,
	221 S 6th St, Terre Haute, IN 47807-4214
	(812) 242-3157
	(812) 242-3861

Map and Direction

Physician's Profile

Full Name	Maureen Kleyla Crispin
Gender	Female
Speciality	Pediatrics
Location	221 S 6th St, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366784753
Provider Enumeration Date: 03/23/2013
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0941591606
Enrollment ID: I20160628000505

Medical Identifiers

Medical identifiers for Maureen Kleyla Crispin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366784753	NPI	-	NPPES
201364760	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01076445A (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. Maureen Kleyla Crispin allows following entities to bill medicare on her behalf.

Entity Name	Union Associated Physicians Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002

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. Maureen Kleyla Crispin 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
Maureen Kleyla Crispin, 221 S 6th Street, Terre Haute, IN 47807-4214 Ph: (812) 242-3157	Maureen Kleyla Crispin, 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3157

Reviews and Comments

Pediatrics Doctors in Terre Haute, IN

Dr. Pablito Dela Cruz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Davis Dr, Terre Haute, IN 47802 Phone: 812-232-7337 Fax: 812-232-7338
Chandrama Chakrabarti, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802 Phone: 812-234-6053 Fax: 812-478-3416
Jacqueline Holder, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 S 6th St, Terre Haute, IN 47807 Phone: 812-242-3105 Fax: 812-242-3133
Dr. Zenaida M Contreras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3464 S 4th St, Terre Haute, IN 47802 Phone: 812-234-8117 Fax: 812-234-1894
Trupti A Bhuptani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4525 Springhill Junction, Terre Haute, IN 47802 Phone: 812-234-6053 Fax: 812-478-3416
Catherine L Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4001 Wabash Ave, Terre Haute, IN 47803 Phone: 812-238-7711
William Douglas Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 S 6th St, Terre Haute, IN 47807 Phone: 812-242-3105 Fax: 812-242-3133

Maureen Kleyla Crispin, - Medicare Pediatrics in Terre Haute, IN