Crystal Annette Rydalch, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Edwards Afb, California. Her current practice location is
55 N Wolfe Ave, Edwards Afb, California. You can reach out to her office (for appointments etc.) via phone at
(616) 277-7118.
Crystal Annette Rydalch is licensed to practice in Washington (license number AP61171748) 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 1639660418.
Provider's Profile
Full Name | Crystal Annette Rydalch |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 55 N Wolfe Ave, Edwards Afb, California |
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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: 1639660418
- Provider Enumeration Date: 05/28/2018
- Last Update Date: 04/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658782230
- Enrollment ID: I20201203001091
Medical Identifiers
Medical identifiers for Crystal Annette Rydalch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639660418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.018127 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61171748 (Washington) | 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. Crystal Annette Rydalch 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 |
Crystal Annette Rydalch, FNP-C 55 N Wolfe Ave, Edwards Afb, CA 93524-6201 Ph: (661) 277-7118 | Crystal Annette Rydalch, FNP-C 55 N Wolfe Ave, Edwards Afb, CA 93524-2227 Ph: (616) 277-7118 |
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