Crystal S Bolanos-maldonado, MS PT in Hope Mills, NC - Medicare Physical Therapist Provider

Crystal S Bolanos-maldonado, MS PT is a medicare enrolled "Physical Therapist" provider in Hope Mills, North Carolina. Her current practice location is 3910 Goforth Dr, Hope Mills, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 324-8741.

Crystal S Bolanos-maldonado is licensed to practice in North Carolina (license number P13978) 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 1477919017.

Contact Information

	Crystal S Bolanos-maldonado, MS PT
	3910 Goforth Dr, Hope Mills, NC 28348-8529
	(336) 324-8741
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal S Bolanos-maldonado
Gender	Female
Speciality	Physical Therapist
Location	3910 Goforth Dr, Hope Mills, 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: 1477919017
Provider Enumeration Date: 01/12/2016
Last Update Date: 01/12/2016

Medicare PECOS Information:

PECOS PAC ID: 0648642371
Enrollment ID: I20230207000766

Medical Identifiers

Medical identifiers for Crystal S Bolanos-maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477919017	NPI	-	NPPES
P13978	Other	NC	NC PT LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P13978 (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. Crystal S Bolanos-maldonado allows following entities to bill medicare on her behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895

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. Crystal S Bolanos-maldonado 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
Crystal S Bolanos-maldonado, MS PT 3910 Goforth Dr, Hope Mills, NC 28348-8529 Ph: () -	Crystal S Bolanos-maldonado, MS PT 3910 Goforth Dr, Hope Mills, NC 28348-8529 Ph: (336) 324-8741

Reviews and Comments

Physical Therapist in Hope Mills, NC

Valerie Dean Stein, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600
Catherine Mccall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602
Mrs. Tracey Nicholson Laureles, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4251 Legion Road, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602
Carolina Complete Rehab Center Of Hope Mills Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd, Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602
Chantsen Kye Rich, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600
Mary Ezzeddine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602
Patricia Ann Heimann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600

Crystal S Bolanos-maldonado, MS PT - Medicare Physical Therapist in Hope Mills, NC