Hannibal Alexander Crisp, DMD in Raleigh, NC

Hannibal Alexander Crisp, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Raleigh, North Carolina. His current practice location is 4201 Lake Boone Trl Ste 2, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 787-3949.

Hannibal Alexander Crisp is licensed to practice in North Carolina (license number 10091) 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 1841673613.

Contact Information

	Hannibal Alexander Crisp, DMD
	4201 Lake Boone Trl Ste 2, Raleigh, NC 27607-7511
	(919) 787-3949
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hannibal Alexander Crisp
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	4201 Lake Boone Trl Ste 2, Raleigh, 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: 1841673613
Provider Enumeration Date: 06/29/2015
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 8022440239
Enrollment ID: I20191108001752

Medical Identifiers

Medical identifiers for Hannibal Alexander Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841673613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	10091 (North Carolina)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	10091 (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. Hannibal Alexander Crisp allows following entities to bill medicare on his behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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. Hannibal Alexander 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
Hannibal Alexander Crisp, DMD 4201 Lake Boone Trl Ste 2, Raleigh, NC 27607-7511 Ph: (919) 787-3949	Hannibal Alexander Crisp, DMD 4201 Lake Boone Trl Ste 2, Raleigh, NC 27607-7511 Ph: (919) 787-3949

Reviews and Comments

Dentist in Raleigh, NC

Juliana Elizabeth Haag, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4106 Wake Forest Rd Ste 100, Raleigh, NC 27609 Phone: 919-876-2464 Fax: 919-876-1409
Mrs. Samantha Leigh Greer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2414 Wycliff Rd, Suite 103, Raleigh, NC 27607 Phone: 919-786-0940 Fax: 919-786-2585
Dr. Paresh Chaganlal Naran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4703 Western Blvd, Raleigh, NC 27606 Phone: 919-851-9690 Fax: 919-816-0342
James Buckthal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 Lake Boone Trl, Raleigh, NC 27608 Phone: 919-782-2119
Parisa Kasravi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9201 Leesville Rd Ste 101, Raleigh, NC 27613 Phone: 919-844-2250 Fax: 919-844-2251
Mary Lanier Zaytoun, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5041 Six Forks Rd, Suite #200, Raleigh, NC 27609 Phone: 919-782-6911
Dr. Robert William Eisberg Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3944 Atlantic Ave, Raleigh, NC 27604 Phone: 919-878-1810 Fax: 919-878-1840

Hannibal Alexander Crisp, DMD - Medicare Dentist in Raleigh, NC