Nicholas D Crall, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in La Junta, Colorado. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Wellmont Medical Associates Inc, Geisinger Clinic, Trinity Health Of New England Provider Network Organization Inc, Legacy Salmon Creek Hospital, Allina Health System, Legacy Clinics Llc, Tower Health Medical Group, Allina Health System, Wellmont Medical Associates Inc and his current practice location is
711 Barnes Ave, La Junta, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 384-5446.
Nicholas D Crall is licensed to practice in Washington (license number OP61249953) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316262645.
Physician's Profile
Full Name | Nicholas D Crall |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 14 Years |
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Location | 711 Barnes Ave, La Junta, Colorado |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicholas D Crall graduated from medical school in 2010
NPI Data:
- NPI Number: 1316262645
- Provider Enumeration Date: 03/30/2010
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274761333
- Enrollment ID: I20140918000656
Medical Identifiers
Medical identifiers for Nicholas D Crall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316262645 | NPI | - | NPPES |
0102203754 | Other | VA | VIRGINIA LICENSE |
Q1384 | Other | TX | TEXAS LICENSE |
DR.0063859 | Other | CO | COLORADO LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | Q1384 (Texas) | Secondary |
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | Q1384 (Texas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 200642 (Alaska) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0102203754 (Virginia) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | OP61249953 (Washington) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101028172 (Michigan) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | Q1384 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wellmont Medical Associates Inc | 8123291739 | 426 |
Geisinger Clinic | 5395657001 | 2841 |
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
Legacy Salmon Creek Hospital | 0446295711 | 236 |
Allina Health System | 4587573613 | 3101 |
Legacy Clinics Llc | 0244144004 | 633 |
Tower Health Medical Group | 7618889213 | 577 |
Allina Health System | 4587573613 | 3101 |
Wellmont Medical Associates Inc | 8123291739 | 426 |
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. Nicholas D Crall allows following entities to bill medicare on his behalf.
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
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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. Nicholas D Crall 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 |
Nicholas D Crall, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Nicholas D Crall, DO 711 Barnes Ave, La Junta, CO 81050-2138 Ph: (719) 384-5446 |
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