Mrs Traceylin Sales Crouch, MPT in Honolulu, HI - Medicare Physical Therapist Provider

Mrs Traceylin Sales Crouch, MPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Honolulu, Hawaii. Her current practice location is 1615 Kalaepaa Dr, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 990-2060.

Mrs Traceylin Sales Crouch is licensed to practice in Hawaii (license number PT1390) 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 1649487828.

Contact Information

	Mrs Traceylin Sales Crouch, MPT
	1615 Kalaepaa Dr, Honolulu, HI 96819-3010
	(808) 990-2060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Traceylin Sales Crouch
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	1615 Kalaepaa Dr, Honolulu, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649487828
Provider Enumeration Date: 05/17/2007
Last Update Date: 04/08/2016

Medicare PECOS Information:

PECOS PAC ID: 0042208456
Enrollment ID: I20040504001288

Medical Identifiers

Medical identifiers for Mrs Traceylin Sales Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649487828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT1390 (Hawaii)	Primary
2251X0800X	Physical Therapist - Orthopedic	PTL0010328 (Colorado)	Secondary

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 Traceylin Sales Crouch allows following entities to bill medicare on her behalf.

Provider Name	Ckw Star Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679590517 PECOS PAC ID: 5294626982 Enrollment ID: O20040323000187

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 Traceylin Sales Crouch 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 Traceylin Sales Crouch, MPT 1615 Kalaepaa Dr, Honolulu, HI 96819-3010 Ph: (808) 990-2060	Mrs Traceylin Sales Crouch, MPT 1615 Kalaepaa Dr, Honolulu, HI 96819-3010 Ph: (808) 990-2060

Reviews and Comments

Physical Therapist in Honolulu, HI

Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000

Mrs Traceylin Sales Crouch, MPT - Medicare Physical Therapist in Honolulu, HI