Dr Gregory P Crucian, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Riley, Kansas. His current practice location is
650 Huebner Rd, Fort Riley, Fort Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at
(850) 883-8150.
Dr Gregory P Crucian is licensed to practice in Florida (license number PY5730) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457396293.
Healthcare Provider's Profile
| Full Name | Dr Gregory P Crucian |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 650 Huebner Rd, Fort Riley, Kansas |
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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: 1457396293
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608297742
- Enrollment ID: I20200528001686
Medical Identifiers
Medical identifiers for Dr Gregory P Crucian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457396293 | NPI | - | NPPES |
| 371230300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY5730 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY5730 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY5730 (Florida) | Primary |
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 Gregory P Crucian 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 |
|---|
Dr Gregory P Crucian, PHD
5313 Stone Crest Dr,
Manhattan, KS 66503-8757
Ph: (915) 255-9869 | Dr Gregory P Crucian, PHD
650 Huebner Rd, Fort Riley,
Fort Riley, KS 66442
Ph: (850) 883-8150 |
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