Crystal Lynette Mitchell, is a medicare enrolled "Nurse Practitioner" in Melber, Kentucky. Her current practice location is
7272 State Route 945, Melber, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 564-8710.
Crystal Lynette Mitchell is licensed to practice in Kentucky (license number 3013144) 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 1053875724.
Provider's Profile
Full Name | Crystal Lynette Mitchell |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 7272 State Route 945, Melber, Kentucky |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053875724
- Provider Enumeration Date: 01/28/2019
- Last Update Date: 04/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739421470
- Enrollment ID: I20190430001622
Medical Identifiers
Medical identifiers for Crystal Lynette Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053875724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LS0200X | Nurse Practitioner - School | 1102605 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3013144 (Kentucky) | 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 Lynette Mitchell allows following entities to bill medicare on her behalf.
Entity Name | Southeastern Emergency Services P C |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
---|
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 Lynette Mitchell 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 Lynette Mitchell, 7272 State Route 945, Melber, KY 42069-8768 Ph: () - | Crystal Lynette Mitchell, 7272 State Route 945, Melber, KY 42069-8768 Ph: (270) 564-8710 |
Reviews and Comments