Crystal D Guevara, SLP is a medicare enrolled "Speech-language Pathologist" in Walnut Ridge, Arkansas. Her current practice location is
1006 W Main St, Walnut Ridge, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 759-5055.
Crystal D Guevara is licensed to practice in Arkansas (license number P9142) 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 1760524466.
Provider's Profile
| Full Name | Crystal D Guevara |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1006 W Main St, Walnut Ridge, Arkansas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1760524466
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 06/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597166769
- Enrollment ID: I20210624003129
Medical Identifiers
Medical identifiers for Crystal D Guevara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760524466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L38284 (Arkansas) | Secondary |
| 235Z00000X | Speech-language Pathologist | P9142 (Arkansas) | 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. Crystal D Guevara allows following entities to bill medicare on her behalf.
| Entity Name | Gross Therapy Services Inc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1033236468
PECOS PAC ID: 5991072050
Enrollment ID: O20170522002316 |
|---|
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 D Guevara 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 D Guevara, SLP
260 Highway 168 N,
Paragould, AR 72450-7202
Ph: (870) 565-7511 | Crystal D Guevara, SLP
1006 W Main St,
Walnut Ridge, AR 72476-1004
Ph: (870) 759-5055 |
Reviews and Comments