Carolyn Diane Crispell, DO - Medicare Internal Medicine in Johnson City, NY

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Carolyn Diane Crispell, DO is a medicare enrolled "Internal Medicine" physician in Johnson City, New York. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Jason Martin Medical Consulting Llc and her current practice location is 33-57 Harrison St, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6622.

Carolyn Diane Crispell is licensed to practice in Texas (license number R7696) 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 1306069265.

Contact Information

Carolyn Diane Crispell, DO
33-57 Harrison St,
Johnson City, NY 13790-2107
(607) 763-6622
(607) 763-5064

Map and Direction




Physician's Profile

Full NameCarolyn Diane Crispell
GenderFemale
SpecialityInternal Medicine
Experience20 Years
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Diane Crispell graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1306069265
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 08/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941394894
  • Enrollment ID: I20180904001524

Medical Identifiers

Medical identifiers for Carolyn Diane Crispell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306069265NPI-NPPES
02886620MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 239067 (New York)Secondary
207R00000XInternal Medicine R7696 (Texas)Primary
207R00000XInternal Medicine 239067 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jason Martin Medical Consulting Llc832528981241

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. Carolyn Diane Crispell allows following entities to bill medicare on her behalf.
Entity NameWellmed Networks, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386948677
PECOS PAC ID: 6002091261
Enrollment ID: O20110503000555
Entity NameJason Martin Medical Consulting Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851736243
PECOS PAC ID: 8325289812
Enrollment ID: O20130725000633
Entity NamePai Participant 9 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679135420
PECOS PAC ID: 7113254277
Enrollment ID: O20190812003650

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. Carolyn Diane Crispell 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 AddressPractice Location Address
Carolyn Diane Crispell, DO
3708 Jefferson St, Ste A,
Austin, TX 78731-6206

Ph: (607) 729-8156		Carolyn Diane Crispell, DO
33-57 Harrison St,
Johnson City, NY 13790-2107

Ph: (607) 763-6622

Reviews and Comments


Internal Medicine Doctors in Johnson City, NY

Dr. Michail Vitellas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St, Suite 250, Johnson City, NY 13790
Phone: 607-770-8600    
Galen Graham, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 601 Riverside Dr, Johnson City, NY 13790
Phone: 607-770-7365    Fax: 607-729-5882
James J Vincens, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St, Ste 250, Johnson City, NY 13790
Phone: 607-770-8600    Fax: 607-770-0853
Parvez Jafri, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-6524
Sirisha Gayam, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Serazul A Khan, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 30 Harrison St, Suite 100, Johnson City, NY 13790
Phone: 607-763-6850    Fax: 607-798-5194
Dr. Zachary Allyn Jones, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.