Dr Crystal Gloria Quinn, PHD is a medicare enrolled "Psychologist" provider in East Rockaway, New York. Her current practice location is
426 Atlantic Ave, East Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 341-6215.
Dr Crystal Gloria Quinn is licensed to practice in New York (license number P110958) 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 1154094100.
Healthcare Provider's Profile
| Full Name | Dr Crystal Gloria Quinn |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 426 Atlantic Ave, East Rockaway, New York |
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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: 1154094100
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113372764
- Enrollment ID: I20231017001677
Medical Identifiers
Medical identifiers for Dr Crystal Gloria Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154094100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | P110958 (New York) | 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. Dr Crystal Gloria Quinn allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Dr Crystal Gloria Quinn 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 |
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Dr Crystal Gloria Quinn, PHD
87 Farrell St,
Long Beach, NY 11561-2620
Ph: (516) 255-7833 | Dr Crystal Gloria Quinn, PHD
426 Atlantic Ave,
East Rockaway, NY 11518-1431
Ph: (516) 341-6215 |
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