Carol D Crisp, PHD, MSN, FNP-BC in Springfield, OR

Carol D Crisp, PHD, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Oregon. Her current practice location is 3312 Gateway St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 204-4745.

Carol D Crisp is licensed to practice in Oregon (license number 10002835) 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 1689730616.

Contact Information

	Carol D Crisp, PHD, MSN, FNP-BC
	3312 Gateway St, Springfield, OR 97477-1054
	(541) 204-4745
	Not Available

Map and Direction

Provider's Profile

Full Name	Carol D Crisp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3312 Gateway St, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689730616
Provider Enumeration Date: 12/27/2006
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1456506690
Enrollment ID: I20210315001310

Medical Identifiers

Medical identifiers for Carol D Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689730616	NPI	-	NPPES
10002835	Other	OR	STATE LICENSE
CNP61599	Other	ID	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP61599 (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	10002835 (Oregon)	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. Carol D Crisp allows following entities to bill medicare on her behalf.

Entity Name	Healing Sense Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437147279 PECOS PAC ID: 8325943293 Enrollment ID: O20031204000059

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. Carol D Crisp 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
Carol D Crisp, PHD, MSN, FNP-BC 3265 Hillcrest Park Dr, Medford, OR 97504-7657 Ph: (541) 275-6655	Carol D Crisp, PHD, MSN, FNP-BC 3312 Gateway St, Springfield, OR 97477-1054 Ph: (541) 204-4745

Reviews and Comments

Nurse Practitioner Nurses in Springfield, OR

Vivian Enyo Dzata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551
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Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401
Barbara L Bryson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic Street, Springfield, OR 97477 Phone: 451-682-3550 Fax: 451-682-3551

Carol D Crisp, PHD, MSN, FNP-BC - Medicare Nurse Practitioner in Springfield, OR