Christal House, is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Georgia. 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 Qcpi-villagemd Pc and her current practice location is
545 Venture Ct, Monticello, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 468-7002.
Christal House is licensed to practice in Georgia (license number RN220103) 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 1568021038.
Provider's Profile
| Full Name | Christal House |
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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 | 545 Venture Ct, Monticello, Georgia |
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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:
- Christal House graduated from nursing school in 2019
NPI Data:
- NPI Number: 1568021038
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890123418
- Enrollment ID: I20220221001654
Medical Identifiers
Medical identifiers for Christal House such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568021038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN220103 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Qcpi-villagemd Pc | 8123389277 | 74 |
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. Christal House allows following entities to bill medicare on her behalf.
| Entity Name | Qcpi-villagemd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558872432
PECOS PAC ID: 8123389277
Enrollment ID: O20180306001224 |
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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. Christal House 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 |
|---|
Christal House,
545 Venture Ct,
Monticello, GA 31064-7788
Ph: () - | Christal House,
545 Venture Ct,
Monticello, GA 31064-7788
Ph: (706) 468-7002 |
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