Makala Crutchfield, NP in Little Rock, AR - Medicare Nurse Practitioner

Makala Crutchfield, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Little Rock, Arkansas. Her current practice location is 5315 W 12th St, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 708-5383.

Makala Crutchfield is licensed to practice in Arkansas (license number 227818) 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 1194579938.

Contact Information

	Makala Crutchfield, NP
	5315 W 12th St, Little Rock, AR 72204-1858
	(501) 708-5383
	Not Available

Map and Direction

Provider's Profile

Full Name	Makala Crutchfield
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	5315 W 12th St, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194579938
Provider Enumeration Date: 04/17/2024
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0941641476
Enrollment ID: I20240514004035

Medical Identifiers

Medical identifiers for Makala Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194579938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	227818 (Arkansas)	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. Makala Crutchfield allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

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. Makala Crutchfield 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
Makala Crutchfield, NP 2521 Mccallum Dr, Sherwood, AR 72120-1645 Ph: (501) 708-5383	Makala Crutchfield, NP 5315 W 12th St, Little Rock, AR 72204-1858 Ph: (501) 708-5383

Reviews and Comments

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Makala Crutchfield, NP - Medicare Nurse Practitioner in Little Rock, AR