Mrs Crystal Goncalves, AGACNP-BC - Medicare Nurse Practitioner in Providence, RI

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Mrs Crystal Goncalves, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5891.

Mrs Crystal Goncalves is licensed to practice in Rhode Island (license number APRN03865) 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 1811758758.

Contact Information

Mrs Crystal Goncalves, AGACNP-BC
593 Eddy St,
Providence, RI 02903-4923
(401) 444-5891
Not Available

Map and Direction




Provider's Profile

Full NameMrs Crystal Goncalves
GenderFemale
SpecialityNurse Practitioner
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811758758
  • Provider Enumeration Date: 01/18/2024
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678910445
  • Enrollment ID: I20240328002108

Medical Identifiers

Medical identifiers for Mrs Crystal Goncalves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811758758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN03865 (Rhode Island)Primary
363LG0600XNurse Practitioner - Gerontology APRN03865 (Rhode Island)Secondary

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. Mrs Crystal Goncalves allows following entities to bill medicare on her behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962844795
PECOS PAC ID: 8921900044
Enrollment ID: O20140213000388

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. Mrs Crystal Goncalves 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 AddressPractice Location Address
Mrs Crystal Goncalves, AGACNP-BC
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779		Mrs Crystal Goncalves, AGACNP-BC
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-5891

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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