Crystal Smith, is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Tahlequah, Oklahoma. Crystal Smith is licensed to practice in Oklahoma (license number 56072) and her current practice location is
711 S Muskogee Ave, Tahlequah, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 207-0078.
NPI number for Crystal Smith is 1184480774 and her current mailing address is Po Box 480985, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184480774.
Provider's Profile
| Full Name | Crystal Smith |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 711 S Muskogee Ave, Tahlequah, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184480774
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 02/22/2024
Medical Identifiers
Medical identifiers for Crystal Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184480774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 56072 (Oklahoma) | 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 Smith 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 Smith,
Po Box 480985,
Tulsa, OK 74148-0985
Ph: () - | Crystal Smith,
711 S Muskogee Ave,
Tahlequah, OK 74464-4717
Ph: (918) 207-0078 |
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