Kelsey Ann Mccrossin, RD is a medicare enrolled "Nutritionist" provider in Philadelphia, Pennsylvania. Her current practice location is
160 E Erie Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 427-8363.
Kelsey Ann Mccrossin 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 1780381897.
Healthcare Provider's Profile
| Full Name | Kelsey Ann Mccrossin |
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| Gender | Female |
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| Speciality | Nutritionist |
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| Location | 160 E Erie Ave, Philadelphia, Pennsylvania |
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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: 1780381897
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 06/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486029139
- Enrollment ID: I20230411000912
Medical Identifiers
Medical identifiers for Kelsey Ann Mccrossin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780381897 | NPI | - | NPPES |
| 86170614 | Other | PA | CDR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (Pennsylvania) | Secondary |
| 133N00000X | Nutritionist | (* (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. Kelsey Ann Mccrossin allows following entities to bill medicare on her behalf.
| Provider Name | Stc Pediatrics Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144864547
PECOS PAC ID: 7315372323
Enrollment ID: O20200122001254 |
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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. Kelsey Ann Mccrossin 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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Kelsey Ann Mccrossin, RD
Po Box 13579,
Reading, PA 19612-3579
Ph: (484) 628-1324 | Kelsey Ann Mccrossin, RD
160 E Erie Ave,
Philadelphia, PA 19134-1011
Ph: (215) 427-8363 |
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