Mr Cody Lawrence Crisman, AGACNP-BC in Victoria, TX

Mr Cody Lawrence Crisman, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Victoria, Texas. His current practice location is 605 E San Antonio St Ste 430e, Victoria, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 576-0011.

Mr Cody Lawrence Crisman is licensed to practice in Texas (license number 1030954) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134713555.

Contact Information

	Mr Cody Lawrence Crisman, AGACNP-BC
	605 E San Antonio St Ste 430e, Victoria, TX 77901-6007
	(361) 576-0011
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Cody Lawrence Crisman
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	605 E San Antonio St Ste 430e, Victoria, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134713555
Provider Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0749689073
Enrollment ID: I20210519000024

Medical Identifiers

Medical identifiers for Mr Cody Lawrence Crisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134713555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1030954 (Texas)	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. Mr Cody Lawrence Crisman allows following entities to bill medicare on his behalf.

Entity Name	Victoria Kidney & Dialysis Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770545873 PECOS PAC ID: 8820086788 Enrollment ID: O20040501000138

Entity Name	Crossroads Hospitalist Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497192660 PECOS PAC ID: 6406084045 Enrollment ID: O20140106000819

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. Mr Cody Lawrence Crisman 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
Mr Cody Lawrence Crisman, AGACNP-BC 501 Blyth Rd, Victoria, TX 77904-2823 Ph: (361) 208-5781	Mr Cody Lawrence Crisman, AGACNP-BC 605 E San Antonio St Ste 430e, Victoria, TX 77901-6007 Ph: (361) 576-0011

Reviews and Comments

Nurse Practitioner Nurses in Victoria, TX

Ginger Gaile Carver, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3408 Sam Houston Dr, Victoria, TX 77904 Phone: 361-844-8866 Fax: 361-894-6064
Joyce Howard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 E San Antonio St, Ste 203w, Victoria, TX 77901 Phone: 361-576-0004 Fax: 361-575-1265
Alyssa Canales, MSN, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Santa Fe, Victoria, TX 77904 Phone: 361-212-6409
Claudia Lizeth Amador, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Goodwin Ave, Suite 340, Victoria, TX 77901 Phone: 361-576-9700
Jessica Lee Helms, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 E San Antonio St Ste 310e, Victoria, TX 77901 Phone: 361-485-9600 Fax: 361-485-9610
Jason Cochrum, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-575-6396 Fax: 361-578-5203
Ann Flowers, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4504 N Laurent St, Victoria, TX 77901 Phone: 361-573-9999 Fax: 361-573-9998

Mr Cody Lawrence Crisman, AGACNP-BC - Medicare Nurse Practitioner in Victoria, TX