Chrystal Lake Dogan, PT, DPT in Charlotte, NC - Medicare Physical Therapist Provider

Chrystal Lake Dogan, PT, DPT is a medicare enrolled "Physical Therapist" provider in Charlotte, North Carolina. Her current practice location is 1930 W Sugar Creek Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 598-4480.

Chrystal Lake Dogan is licensed to practice in North Carolina (license number P14393) 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 1336621184.

Contact Information

	Chrystal Lake Dogan, PT, DPT
	1930 W Sugar Creek Rd, Charlotte, NC 28262-4952
	(704) 598-4480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chrystal Lake Dogan
Gender	Female
Speciality	Physical Therapist
Location	1930 W Sugar Creek Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336621184
Provider Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018

Medicare PECOS Information:

PECOS PAC ID: 6507258332
Enrollment ID: I20220127002466

Medical Identifiers

Medical identifiers for Chrystal Lake Dogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336621184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P14393 (North Carolina)	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. Chrystal Lake Dogan allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750

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. Chrystal Lake Dogan 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
Chrystal Lake Dogan, PT, DPT 4225 Waterford Valley Cir Apt 935, Charlotte, NC 28269-3129 Ph: () -	Chrystal Lake Dogan, PT, DPT 1930 W Sugar Creek Rd, Charlotte, NC 28262-4952 Ph: (704) 598-4480

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Chrystal Lake Dogan, PT, DPT - Medicare Physical Therapist in Charlotte, NC