Ms Crystal Marie Devivo, PA-C in Aiken, SC - Medicare Physician Assistant

Ms Crystal Marie Devivo, PA-C is a medicare enrolled "Physician Assistant" in Aiken, South Carolina. Her current practice location is 216 Edgefield Ave Nw, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 648-4224.

Ms Crystal Marie Devivo is licensed to practice in South Carolina (license number 821) 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 1265666861.

Contact Information

	Ms Crystal Marie Devivo, PA-C
	216 Edgefield Ave Nw, Aiken, SC 29801-3910
	(803) 648-4224
	(803) 641-7600

Map and Direction

Provider's Profile

Full Name	Ms Crystal Marie Devivo
Gender	Female
Speciality	Physician Assistant
Location	216 Edgefield Ave Nw, Aiken, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265666861
Provider Enumeration Date: 05/11/2009
Last Update Date: 11/20/2017

Medicare PECOS Information:

PECOS PAC ID: 4183667769
Enrollment ID: I20190409000972

Medical Identifiers

Medical identifiers for Ms Crystal Marie Devivo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265666861	NPI	-	NPPES
1055040	Other		NCCPA CERTIFICATION
1115PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	821 (South Carolina)	Primary

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. Ms Crystal Marie Devivo 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
Ms Crystal Marie Devivo, PA-C 2 Westshire Pl, North Augusta, SC 29841-3375 Ph: (803) 648-4224	Ms Crystal Marie Devivo, PA-C 216 Edgefield Ave Nw, Aiken, SC 29801-3910 Ph: (803) 648-4224

Reviews and Comments

Physician Assistant Nurses in Aiken, SC

Tori Jolly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 Rinehart Way, Aiken, SC 29803 Phone: 803-335-2200 Fax: 803-649-7966
Erin P Stewart, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 Rinehart Way, Aiken, SC 29803 Phone: 803-335-2200 Fax: 803-649-7966
Matthew Bryan Hanna, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6167 Braided Mane Pass Sw, Aiken, SC 29803 Phone: 803-648-1464 Fax: 803-649-2027
Mr. William Kevin Higgins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 806-641-5100
Mr. Michael Edward Spillane, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 440 Society Hill Dr Ste 100a, Aiken, SC 29803 Phone: 032-260-1028 Fax: 803-226-0384
Ms. Veronica Marie Chavis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 137 Miracle Drive, Nw, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436
Keifer Dewayne Richardson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 526 Richland Ave W, Aiken, SC 29801 Phone: 803-648-3130

Ms Crystal Marie Devivo, PA-C - Medicare Physician Assistant in Aiken, SC