Crystal Maureen Oden, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. Her current practice location is
3014 W Charleston Blvd Ste 130, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 671-5127.
Crystal Maureen Oden 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 1447952882.
Physician's Profile
Full Name | Crystal Maureen Oden |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada |
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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: 1447952882
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113389149
- Enrollment ID: I20230808002591
Medical Identifiers
Medical identifiers for Crystal Maureen Oden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447952882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | LL3955 (Nevada) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Maureen Oden 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 Maureen Oden, 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 Ph: (702) 671-5127 | Crystal Maureen Oden, 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 Ph: (702) 671-5127 |
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