Mrs Dervie Crespo, NP in Minneapolis, MN - Medicare Nurse Practitioner

Mrs Dervie Crespo, NP is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. Her current practice location is 8100 W 78th St Ste 230, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 946-9777.

Mrs Dervie Crespo is licensed to practice in Minnesota (license number 2390) 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 1124288691.

Contact Information

	Mrs Dervie Crespo, NP
	8100 W 78th St Ste 230, Minneapolis, MN 55439-2570
	(952) 946-9777
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Dervie Crespo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8100 W 78th St Ste 230, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124288691
Provider Enumeration Date: 06/09/2008
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0042361586
Enrollment ID: I20130522000704

Medical Identifiers

Medical identifiers for Mrs Dervie Crespo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124288691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R200494-9 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	2390 (Minnesota)	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 Dervie Crespo allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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 Dervie Crespo 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 Dervie Crespo, NP 8100 W 78th St Ste 230, Edina, MN 55439-2570 Ph: (952) 946-9777	Mrs Dervie Crespo, NP 8100 W 78th St Ste 230, Minneapolis, MN 55439-2570 Ph: (952) 946-9777

Reviews and Comments

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Mrs Dervie Crespo, NP - Medicare Nurse Practitioner in Minneapolis, MN