Mrs Crystal Marie Stanberry, NP in Texarkana, AR

Mrs Crystal Marie Stanberry, NP is a medicare enrolled "Nurse Practitioner" in Texarkana, Arkansas. Her current practice location is 1205 E 35th St, Texarkana, Arkansas. You can reach out to her office (for appointments etc.) via phone at (903) 735-5355.

Mrs Crystal Marie Stanberry is licensed to practice in Arkansas (license number A005171) 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 1053840082.

Contact Information

	Mrs Crystal Marie Stanberry, NP
	1205 E 35th St, Texarkana, AR 71854-2746
	(903) 735-5355
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Crystal Marie Stanberry
Gender	Female
Speciality	Nurse Practitioner
Location	1205 E 35th St, Texarkana, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053840082
Provider Enumeration Date: 06/04/2017
Last Update Date: 04/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0840560926
Enrollment ID: I20170721002594

Medical Identifiers

Medical identifiers for Mrs Crystal Marie Stanberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053840082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP134293 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	A005171 (Arkansas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	A005171 (Arkansas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP134293 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	A005171 (Arkansas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP134293 (Texas)	Secondary
363L00000X	Nurse Practitioner	A005171 (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. Mrs Crystal Marie Stanberry allows following entities to bill medicare on her behalf.

Entity Name	Midsouth Transitions Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790262681 PECOS PAC ID: 8628322831 Enrollment ID: O20181106002557

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 Marie Stanberry 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
Mrs Crystal Marie Stanberry, NP 11267 Highway 82, Texarkana, AR 71854-0844 Ph: () -	Mrs Crystal Marie Stanberry, NP 1205 E 35th St, Texarkana, AR 71854-2746 Ph: (903) 735-5355

Reviews and Comments

Nurse Practitioner Nurses in Texarkana, AR

Tommy Caldwell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 E 35th St, Texarkana, AR 71854 Phone: 903-614-5355 Fax: 903-614-5399
Deborah L Porchia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6125
Ms. Gracie Mae Adkisson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2301 Pecan St, Texarkana, AR 71854 Phone: 903-278-5906
Belinda K Doss, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 East St, Texarkana, AR 71854 Phone: 870-773-2177 Fax: 870-773-2758
Porscha Nicole Branch, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 E 35th St, Texarkana, AR 71854 Phone: 870-216-0050 Fax: 870-216-0096
Mrs. Martega Marie Walton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 Trinity Blvd, Texarkana, AR 71854 Phone: 870-773-6467 Fax: 870-216-0061

Mrs Crystal Marie Stanberry, NP - Medicare Nurse Practitioner in Texarkana, AR