Crystal A De Wit, DO in Bridgeport, WV - Medicare Anesthesiology

Crystal A De Wit, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Bridgeport, West Virginia. Her current practice location is 527 Medical Park Dr Ste 500, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (681) 342-3600.

Crystal A De Wit is licensed to practice in West Virginia (license number 3780) 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 1114980406.

Contact Information

	Crystal A De Wit, DO
	527 Medical Park Dr Ste 500, Bridgeport, WV 26330-9010
	(681) 342-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Crystal A De Wit
Gender	Female
Speciality	Anesthesiology - Pain Medicine
Location	527 Medical Park Dr Ste 500, Bridgeport, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114980406
Provider Enumeration Date: 04/09/2006
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 2163440306
Enrollment ID: I20051107000616

Medical Identifiers

Medical identifiers for Crystal A De Wit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114980406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	3780 (West Virginia)	Secondary
207P00000X	Emergency Medicine	3780 (West Virginia)	Secondary
207Q00000X	Family Medicine	3780 (West Virginia)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	3780 (West Virginia)	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. Crystal A De Wit allows following entities to bill medicare on her behalf.

Entity Name	Punxsutawney Area Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265449870 PECOS PAC ID: 3375517147 Enrollment ID: O20040830000460

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. Crystal A De Wit 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
Crystal A De Wit, DO 12 Ashbury Ln, Fairmont, WV 26554-3473 Ph: (412) 303-0494	Crystal A De Wit, DO 527 Medical Park Dr Ste 500, Bridgeport, WV 26330-9010 Ph: (681) 342-3600

Reviews and Comments

Anesthesiology Doctors in Bridgeport, WV

Annas Sabbagh, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500
Joseph M Folio, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000
Frank P Dombkoski, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626
Dr. Amante Agustin Lopez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626
Dr. Scott M Ross, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-233-2455
Dr. Koshy Mathews Mathai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500

Crystal A De Wit, DO - Medicare Anesthesiology in Bridgeport, WV