Angelina Crayne, is a medicare enrolled "Speech-language Pathologist" provider in Granite Bay, California. Her current practice location is
5420 Douglas Blvd Ste F, Granite Bay, California. You can reach out to her office (for appointments etc.) via phone at
(916) 287-1517.
Angelina Crayne is licensed to practice in * (Not Available) (license number ) 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 1881368074.
Healthcare Provider's Profile
Full Name | Angelina Crayne |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 5420 Douglas Blvd Ste F, Granite Bay, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881368074
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799151056
- Enrollment ID: I20221012001731
Medical Identifiers
Medical identifiers for Angelina Crayne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881368074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Angelina Crayne allows following entities to bill medicare on her behalf.
Provider Name | Synergy Speech Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1134787302 PECOS PAC ID: 9133518145 Enrollment ID: O20211112001702 |
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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. Angelina Crayne 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 |
Angelina Crayne, 415 South Ave, Sacramento, CA 95838-4227 Ph: (916) 514-2112 | Angelina Crayne, 5420 Douglas Blvd Ste F, Granite Bay, CA 95746-6253 Ph: (916) 287-1517 |
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