Elishia Kathleen Crumwell-mack, in Lawrenceville, GA

Elishia Kathleen Crumwell-mack, is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. Her current practice location is 301 Philip Blvd Ste A, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 822-5560.

Elishia Kathleen Crumwell-mack is licensed to practice in Georgia (license number RN302384) 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 1144863051.

Contact Information

	Elishia Kathleen Crumwell-mack,
	301 Philip Blvd Ste A, Lawrenceville, GA 30046-8746
	(770) 822-5560
	(770) 822-4989

Map and Direction

Provider's Profile

Full Name	Elishia Kathleen Crumwell-mack
Gender	Female
Speciality	Nurse Practitioner
Location	301 Philip Blvd Ste A, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144863051
Provider Enumeration Date: 10/23/2019
Last Update Date: 06/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7012328321
Enrollment ID: I20220711001294

Medical Identifiers

Medical identifiers for Elishia Kathleen Crumwell-mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144863051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN302384 (Georgia)	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. Elishia Kathleen Crumwell-mack allows following entities to bill medicare on her behalf.

Entity Name	Aga, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726

Entity Name	Aga Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311

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. Elishia Kathleen Crumwell-mack 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
Elishia Kathleen Crumwell-mack, 301 Philip Blvd Ste A, Lawrenceville, GA 30046-8746 Ph: (770) 822-5560	Elishia Kathleen Crumwell-mack, 301 Philip Blvd Ste A, Lawrenceville, GA 30046-8746 Ph: (770) 822-5560

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: --
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Elishia Kathleen Crumwell-mack, - Medicare Nurse Practitioner in Lawrenceville, GA