Mrs Crystal Burks, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Orange City, Florida. Her current practice location is
258 Treemonte Dr Ste 258, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 628-3376.
Mrs Crystal Burks is licensed to practice in Florida (license number APRN11007710) 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 1821616376.
Physician's Profile
Full Name | Mrs Crystal Burks |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 258 Treemonte Dr Ste 258, Orange City, Florida |
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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: 1821616376
- Provider Enumeration Date: 07/10/2020
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113395302
- Enrollment ID: I20221118001911
Medical Identifiers
Medical identifiers for Mrs Crystal Burks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821616376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | APRN11007710 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11007710 (Florida) | 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. Mrs Crystal Burks allows following entities to bill medicare on her behalf.
Entity Name | Theo Medical Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558707588 PECOS PAC ID: 4688814999 Enrollment ID: O20130710000486 |
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Entity Name | Nosky Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609215912 PECOS PAC ID: 6204078561 Enrollment ID: O20130815000619 |
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Entity Name | Neil Sandhu Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124646930 PECOS PAC ID: 6103240833 Enrollment ID: O20200728000603 |
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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. Mrs Crystal Burks 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 |
Mrs Crystal Burks, APRN 258 Treemonte Dr Ste 258, Orange City, FL 32763-7945 Ph: (386) 628-3376 | Mrs Crystal Burks, APRN 258 Treemonte Dr Ste 258, Orange City, FL 32763-7945 Ph: (386) 628-3376 |
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