Nicholas Sinar Crisp, is a medicare enrolled "Social Worker - Clinical" provider in Miami, Oklahoma. His current practice location is
111 S Treaty Rd, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 610-3644.
Nicholas Sinar Crisp is licensed to practice in * (Not Available) (license number ) 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 1427578186.
Healthcare Provider's Profile
| Full Name | Nicholas Sinar Crisp |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 111 S Treaty Rd, Miami, Oklahoma |
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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: 1427578186
- Provider Enumeration Date: 06/23/2017
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577982420
- Enrollment ID: I20200928000842
Medical Identifiers
Medical identifiers for Nicholas Sinar Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427578186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. Nicholas Sinar Crisp allows following entities to bill medicare on his behalf.
| Entity Name | Total Life Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20230125003168 |
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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. Nicholas Sinar Crisp 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 |
|---|
Nicholas Sinar Crisp,
111 S Treaty Rd,
Miami, OK 74354-5327
Ph: (405) 610-3644 | Nicholas Sinar Crisp,
111 S Treaty Rd,
Miami, OK 74354-5327
Ph: (405) 610-3644 |
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