Mrs Crystal Reba Ferguson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in West Winfield, New York. Her current practice location is
544 E Main St, West Winfield, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 822-6348.
Mrs Crystal Reba Ferguson is licensed to practice in New York (license number F336321-1) 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 1528379534.
Provider's Profile
| Full Name | Mrs Crystal Reba Ferguson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 544 E Main St, West Winfield, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528379534
- Provider Enumeration Date: 06/24/2010
- Last Update Date: 04/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 0840471942
- Enrollment ID: I20110223000100
Medical Identifiers
Medical identifiers for Mrs Crystal Reba Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528379534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F336321-1 (New York) | 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 Reba Ferguson allows following entities to bill medicare on her behalf.
| Entity Name | Mary Imogene Bassett Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20031205000553 |
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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 Reba Ferguson 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 |
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Mrs Crystal Reba Ferguson, FNP-BC
Po Box 725,
Cooperstown, NY 13326-0725
Ph: (315) 822-6348 | Mrs Crystal Reba Ferguson, FNP-BC
544 E Main St,
West Winfield, NY 13491-2912
Ph: (315) 822-6348 |
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