Crystal Marie Randall, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Crystal Marie Randall, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Luminis Health Medical Group, Llc, First Call Medical Center Llc and her current practice location is 630 S Exeter St., Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 926-6520.

Crystal Marie Randall is licensed to practice in Maryland (license number R182733) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598262453.

Contact Information

	Crystal Marie Randall, CRNP
	630 S Exeter St., Baltimore, MD 21203
	(410) 926-6520
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Marie Randall
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	630 S Exeter St., Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Marie Randall graduated from nursing school in 2017

NPI Data:

NPI Number: 1598262453
Provider Enumeration Date: 04/08/2018
Last Update Date: 06/25/2018

Medicare PECOS Information:

PECOS PAC ID: 0345599908
Enrollment ID: I20180913000529

Medical Identifiers

Medical identifiers for Crystal Marie Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598262453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R182733 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anne Arundel Medical Center	Annapolis, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Luminis Health Medical Group, Llc	2860447315	437
First Call Medical Center Llc	5496091290	31

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 Marie Randall allows following entities to bill medicare on her behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

Entity Name	Drs Ergent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780039818 PECOS PAC ID: 8921399973 Enrollment ID: O20160622000398

Entity Name	First Call Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841680766 PECOS PAC ID: 5496091290 Enrollment ID: O20190116000964

Entity Name	First Call Medical Center Gambrills
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639700172 PECOS PAC ID: 7214365618 Enrollment ID: O20200318001487

Entity Name	Umms Ambulatory Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487251997 PECOS PAC ID: 8426461427 Enrollment ID: O20210113000074

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 Marie Randall 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 Marie Randall, CRNP 630 S Exeter St, Baltimore, MD 21202-4316 Ph: (866) 389-2727	Crystal Marie Randall, CRNP 630 S Exeter St., Baltimore, MD 21203 Ph: (410) 926-6520

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Crystal Marie Randall, CRNP - Medicare Nurse Practitioner in Baltimore, MD