Crystal Dale Grantham, - Medicare Nurse Practitioner in Richton, MS

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Crystal Dale Grantham, is a medicare enrolled "Nurse Practitioner - Family" in Richton, Mississippi. Her current practice location is 210 Bay Ave, Richton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 788-9222.

Crystal Dale Grantham is licensed to practice in Mississippi (license number 902689) 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 1336633791.

Contact Information

Crystal Dale Grantham,
210 Bay Ave,
Richton, MS 39476-9665
(601) 788-9222
(601) 788-6318

Map and Direction




Provider's Profile

Full NameCrystal Dale Grantham
GenderFemale
SpecialityNurse Practitioner - Family
Location210 Bay Ave, Richton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336633791
  • Provider Enumeration Date: 06/19/2018
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426308446
  • Enrollment ID: I20180912000778

Medical Identifiers

Medical identifiers for Crystal Dale Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336633791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 902689 (Mississippi)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 Dale Grantham allows following entities to bill medicare on her behalf.
Entity NameMagee Benevolent Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225157258
PECOS PAC ID: 3678466463
Enrollment ID: O20040205000400
Entity NameForrest County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295837631
PECOS PAC ID: 1052397767
Enrollment ID: O20040624001351
Entity NameField Memorial Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648376
PECOS PAC ID: 0547248544
Enrollment ID: O20040707001237
Entity NameRh Emergency Medicine Of Perry County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740058650
PECOS PAC ID: 8022461573
Enrollment ID: O20240131002979
Entity NameRh Hospitalist Medicine Of Perry County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821866740
PECOS PAC ID: 4688017619
Enrollment ID: O20240207000960

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 Dale Grantham 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 AddressPractice Location Address
Crystal Dale Grantham,
210 Bay Ave,
Richton, MS 39476-9665

Ph: (601) 788-9222		Crystal Dale Grantham,
210 Bay Ave,
Richton, MS 39476-9665

Ph: (601) 788-9222

Reviews and Comments


Nurse Practitioner Nurses in Richton, MS

Ms. Janell G Carter, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 Bay Ave, Richton, MS 39476
Phone: 601-788-6316    Fax: 601-788-2230
Jillian Christina Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 91570 Highway 42, Richton, MS 39476
Phone: 601-791-2101    
Angela Denise Haigler, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Highway 15 S, Richton, MS 39476
Phone: 601-319-7660    
Ms. Jerryl Mcgowan Collins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 411 Oak Street, Richton, MS 39476
Phone: 601-408-0719    
Mr. James Sawyer Williams, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Bay Ave, Richton, MS 39476
Phone: 601-788-9222    
Victoria Rachelle Owens, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 411 Oak St, Richton, MS 39476
Phone: 601-408-0719    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.