Rachall Crowe, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Valley Springs, California. Her current practice location is
51 Wellness Way, Valley Springs, California. You can reach out to her office (for appointments etc.) via phone at
(209) 772-7070.
Rachall Crowe is licensed to practice in California (license number 95022167) 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 1154059939.
Provider's Profile
| Full Name | Rachall Crowe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 51 Wellness Way, Valley Springs, California |
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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: 1154059939
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173993532
- Enrollment ID: I20221228002296
Medical Identifiers
Medical identifiers for Rachall Crowe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154059939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WE0003X | Registered Nurse - Emergency | 1-108542 (Alabama) | Secondary |
| 163WE0003X | Registered Nurse - Emergency | RN312476 (Georgia) | Secondary |
| 163WE0003X | Registered Nurse - Emergency | 95026035 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95022167 (California) | 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. Rachall Crowe allows following entities to bill medicare on her behalf.
| Entity Name | Mark Twain Health Care District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306311329
PECOS PAC ID: 7810327657
Enrollment ID: O20200818003005 |
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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. Rachall Crowe 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 |
|---|
Rachall Crowe, FNP-BC
51 Wellness Way,
Valley Springs, CA 95252-9736
Ph: (209) 772-7070 | Rachall Crowe, FNP-BC
51 Wellness Way,
Valley Springs, CA 95252-9736
Ph: (209) 772-7070 |
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