Crystal Dawn Trout, is a
Case Manager/care Coordinator based in Hope, Arkansas. Crystal Dawn Trout is licensed to practice in Arkansas (license number ) and her current practice location is
300 E 20th St, Hope, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 777-9051.
NPI number for Crystal Dawn Trout is 1710599675 and her current mailing address is 2904 Arkansas Blvd, Texarkana, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710599675.
Provider's Profile
| Full Name | Crystal Dawn Trout |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 300 E 20th St, Hope, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710599675
- Provider Enumeration Date: 08/20/2020
- Last Update Date: 08/20/2020
Medical Identifiers
Medical identifiers for Crystal Dawn Trout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710599675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L054117 (Arkansas) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Arkansas) | 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 Dawn Trout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Dawn Trout,
2904 Arkansas Blvd,
Texarkana, AR 71854-2536
Ph: () - | Crystal Dawn Trout,
300 E 20th St,
Hope, AR 71801-8217
Ph: (870) 777-9051 |
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