Jill Crossgrove-murillo, RD is a medicare enrolled "Dietitian, Registered" provider in Wauseon, Ohio. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Fchc Medical Care, Llc and her current practice location is
725 S Shoop Ave, Wauseon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 330-2772.
Jill Crossgrove-murillo is licensed to practice in Ohio (license number LD4323) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679219984.
Healthcare Provider's Profile
| Full Name | Jill Crossgrove-murillo |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 30 Years |
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| Location | 725 S Shoop Ave, Wauseon, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jill Crossgrove-murillo graduated from medical school in 1995
NPI Data:
- NPI Number: 1679219984
- Provider Enumeration Date: 05/10/2022
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961882170
- Enrollment ID: I20221118002006
Medical Identifiers
Medical identifiers for Jill Crossgrove-murillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679219984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD4323 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fchc Medical Care, Llc | 8022018704 | 64 |
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. Jill Crossgrove-murillo allows following entities to bill medicare on her behalf.
| Provider Name | Fchc Medical Care, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598821175
PECOS PAC ID: 8022018704
Enrollment ID: O20070103000005 |
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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. Jill Crossgrove-murillo 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 |
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Jill Crossgrove-murillo, RD
725 S Shoop Ave,
Wauseon, OH 43567-1702
Ph: (419) 330-2772 | Jill Crossgrove-murillo, RD
725 S Shoop Ave,
Wauseon, OH 43567-1702
Ph: (419) 330-2772 |
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