Crystal James Mable, FNP is a medicare enrolled "Nurse Practitioner - Family" in Somerville, Texas. Her current practice location is
17202 State Highway 36 S, Somerville, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 596-1441.
Crystal James Mable is licensed to practice in Texas (license number AP143651) 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 1508409533.
Provider's Profile
| Full Name | Crystal James Mable |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 17202 State Highway 36 S, Somerville, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508409533
- Provider Enumeration Date: 10/22/2019
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678014925
- Enrollment ID: I20240926001172
Medical Identifiers
Medical identifiers for Crystal James Mable such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508409533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP143651 (Texas) | 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 James Mable allows following entities to bill medicare on her behalf.
| Entity Name | Brazos Valley Community Action Agency Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821185299
PECOS PAC ID: 4284542127
Enrollment ID: O20040708001095 |
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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. Crystal James Mable 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 |
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Crystal James Mable, FNP
212 Boulder Dr,
Navasota, TX 77868-3760
Ph: (936) 870-6817 | Crystal James Mable, FNP
17202 State Highway 36 S,
Somerville, TX 77879-5264
Ph: (979) 596-1441 |
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