Stephanie Crum, PA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Port Charlotte, Florida. Her current practice location is
19621 Cochran Blvd, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 262-1250.
Stephanie Crum is licensed to practice in Florida (license number 9117891) 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 1396406120.
Physician's Profile
Full Name | Stephanie Crum |
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Gender | Female |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 19621 Cochran Blvd, Port Charlotte, 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: 1396406120
- Provider Enumeration Date: 01/04/2022
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779947809
- Enrollment ID: I20230907004450
Medical Identifiers
Medical identifiers for Stephanie Crum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396406120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 9117891 (Florida) | Primary |
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. Stephanie Crum 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 |
Stephanie Crum, PA 490 Lomond Dr, Port Charlotte, FL 33953-1526 Ph: () - | Stephanie Crum, PA 19621 Cochran Blvd, Port Charlotte, FL 33948-2070 Ph: (954) 262-1250 |
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