Mrs Michelle Renee Crumbley, NP is a medicare enrolled "Nurse Practitioner" physician in Loganville, Georgia. Her current practice location is
4398 Atlanta Hwy, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 948-3019.
Mrs Michelle Renee Crumbley is licensed to practice in Georgia (license number RN221959) 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 1023445418.
Physician's Profile
Full Name | Mrs Michelle Renee Crumbley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 4398 Atlanta Hwy, Loganville, Georgia |
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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: 1023445418
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032422159
- Enrollment ID: I20150817002059
Medical Identifiers
Medical identifiers for Mrs Michelle Renee Crumbley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023445418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN221959 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN221959 (Georgia) | 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 Michelle Renee Crumbley allows following entities to bill medicare on her behalf.
Entity Name | Piedmont Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
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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 Michelle Renee Crumbley 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 Michelle Renee Crumbley, NP 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 Ph: (770) 957-8626 | Mrs Michelle Renee Crumbley, NP 4398 Atlanta Hwy, Loganville, GA 30052-7314 Ph: (404) 948-3019 |
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