Crystal Killian Witherspoon, PT in Statesville, NC - Medicare Physical Therapist Provider

Crystal Killian Witherspoon, PT is a medicare enrolled "Physical Therapist" provider in Statesville, North Carolina. Her current practice location is 1424b Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 872-0224.

Crystal Killian Witherspoon is licensed to practice in North Carolina (license number P11367) 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 1124730494.

Contact Information

	Crystal Killian Witherspoon, PT
	1424b Fern Creek Dr, Statesville, NC 28625-9376
	(704) 872-0224
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Killian Witherspoon
Gender	Female
Speciality	Physical Therapist
Location	1424b Fern Creek Dr, Statesville, 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: 1124730494
Provider Enumeration Date: 12/19/2022
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1456723444
Enrollment ID: I20230221003172

Medical Identifiers

Medical identifiers for Crystal Killian Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124730494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P11367 (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 Killian Witherspoon allows following entities to bill medicare on her behalf.

Provider Name	Piedmont Healthcare Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912999897 PECOS PAC ID: 9638070683 Enrollment ID: O20040114000339

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 Killian Witherspoon 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 Killian Witherspoon, PT Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Crystal Killian Witherspoon, PT 1424b Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 872-0224

Reviews and Comments

Physical Therapist in Statesville, NC

Shannan Lawrence, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661
Abundant Life Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1531 Cinema Dr Ste C, Statesville, NC 28625 Phone: 980-443-6070 Fax: 980-443-6070
Mr. Gregory W Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Baymount Dr, Statesville, NC 28625 Phone: 704-880-0688
Mr. Scott M Rhodes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7620
Mrs. Denise Overcash Ray, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Sherwood Ln, Statesville, NC 28677 Phone: 704-881-0088 Fax: 704-881-0087
Mrs. Melissa Gottheim Wildt, OT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2147 Davie Ave, Gardens Of Statesville, Statesville, NC 28625 Phone: 704-878-8689
Carly Filiault, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Van Haven Dr, Statesville, NC 28625 Phone: 704-883-9700

Crystal Killian Witherspoon, PT - Medicare Physical Therapist in Statesville, NC