Mary D Crumpton, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Reidsville, North Carolina. Her current practice location is
1107 S Main St, Reidsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 349-1088.
Mary D Crumpton is licensed to practice in North Carolina (license number L001650) 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 1679862890.
Healthcare Provider's Profile
Full Name | Mary D Crumpton |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1107 S Main St, Reidsville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679862890
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294758678
- Enrollment ID: I20060111001062
Medical Identifiers
Medical identifiers for Mary D Crumpton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679862890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L001650 (North Carolina) | Primary |
133V00000X | Dietitian, Registered | 727007 (North Carolina) | Secondary |
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. Mary D Crumpton 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 |
Mary D Crumpton, RD, LDN 301 E Wendover Ave, Greensboro, NC 27401-1230 Ph: (369) 514-7313 | Mary D Crumpton, RD, LDN 1107 S Main St, Reidsville, NC 27320-5313 Ph: (336) 349-1088 |
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