Carly Ann Mayumi Crider, DO in Lebanon, OR - Medicare Internal Medicine

Carly Ann Mayumi Crider, DO is a medicare enrolled "Internal Medicine" physician in Lebanon, Oregon. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mid-valley Healthcare Inc and her current practice location is 100 Mullins Dr Ste C2, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 451-6413.

Carly Ann Mayumi Crider is licensed to practice in Oregon (license number 193425) 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 1487041687.

Contact Information

	Carly Ann Mayumi Crider, DO
	100 Mullins Dr Ste C2, Lebanon, OR 97355-2868
	(541) 451-6413
	Not Available

Map and Direction

Physician's Profile

Full Name	Carly Ann Mayumi Crider
Gender	Female
Speciality	Internal Medicine
Experience	8 Years
Location	100 Mullins Dr Ste C2, Lebanon, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Ann Mayumi Crider graduated from medical school in 2016

NPI Data:

NPI Number: 1487041687
Provider Enumeration Date: 04/25/2015
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4981998929
Enrollment ID: I20191001000470

Medical Identifiers

Medical identifiers for Carly Ann Mayumi Crider such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487041687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	193425 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Evergreen Hospice	Albany, OR	Hospice
Samaritan Albany General Hospital	Albany, OR	Hospital
Samaritan Lebanon Community Hospital	Lebanon, OR	Hospital
Avamere Rehabilitation Of Lebanon	Lebanon, OR	Nursing home
Mennonite Home	Albany, OR	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mid-valley Healthcare Inc	2769391523	134

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. Carly Ann Mayumi Crider allows following entities to bill medicare on her behalf.

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140

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. Carly Ann Mayumi Crider 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
Carly Ann Mayumi Crider, DO Po Box 1193, Corvallis, OR 97339-1193 Ph: () -	Carly Ann Mayumi Crider, DO 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 Ph: (541) 451-6413

Reviews and Comments

Internal Medicine Doctors in Lebanon, OR

Dr. Robert D. Wimmer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6427 Fax: 541-451-7520
Cody Talbot, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6413
Dr. Jourdan Leigh Hull, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6479 Fax: 541-451-7085
Dr. Randy J. Mccoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200
Dr. Sedrick A. Salisbury, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200
Dr. Mark Thomas Day, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101
Dr. Dana L. Kosmala, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282

Carly Ann Mayumi Crider, DO - Medicare Internal Medicine in Lebanon, OR