Ashley Elizabeth Crumb, NURSE PRACTITIONER is a medicare enrolled "Family Medicine" in Cicero, New York. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Medical Pc and her current practice location is
5586 Legionnaire Dr, Cicero, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 699-2837.
Ashley Elizabeth Crumb is licensed to practice in New York (license number 683370) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104279215.
Provider's Profile
| Full Name | Ashley Elizabeth Crumb |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 5586 Legionnaire Dr, Cicero, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashley Elizabeth Crumb graduated from nursing school in 2019
NPI Data:
- NPI Number: 1104279215
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 05/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395076822
- Enrollment ID: I20191014002233
Medical Identifiers
Medical identifiers for Ashley Elizabeth Crumb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104279215 | NPI | - | NPPES |
| 1104279215 | Medicaid | NY | |
| 683370-1 | Other | NY | THE UNIVERSITY OF THE STATE OF NY EDUCATION DEPT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WM0705X | Registered Nurse - Medical-surgical | 683370 (New York) | Secondary |
| 207Q00000X | Family Medicine | 683370 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Josephs Medical Pc | 4688855844 | 300 |
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. Ashley Elizabeth Crumb allows following entities to bill medicare on her behalf.
| Entity Name | Syracuse Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497796353
PECOS PAC ID: 0143121327
Enrollment ID: O20040120000443 |
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| Entity Name | St Josephs Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744 |
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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. Ashley Elizabeth Crumb 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 |
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Ashley Elizabeth Crumb, NURSE PRACTITIONER
5586 Legionnaire Dr,
Cicero, NY 13039-3504
Ph: (315) 699-2837 | Ashley Elizabeth Crumb, NURSE PRACTITIONER
5586 Legionnaire Dr,
Cicero, NY 13039-3504
Ph: (315) 699-2837 |
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