Crystal Nwannunu, MD is a medicare enrolled "Dermatology" physician in Aldie, Virginia. She went to University Of Texas Medical School At Houston and graduated in 2020 and has 6 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Clinical Dermatology Center Llc and her current practice location is
24560 Southpoint Dr, Aldie, Virginia. You can reach out to her office (for appointments etc.) via phone at
(214) 553-0017.
Crystal Nwannunu is licensed to practice in Virginia (license number 0101282802) 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 1669092045.
Physician's Profile
| Full Name | Crystal Nwannunu |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Experience | 6 Years |
|---|
| Location | 24560 Southpoint Dr, Aldie, Virginia |
|---|
| 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:
- Crystal Nwannunu attended and graduated from University Of Texas Medical School At Houston in 2020
NPI Data:
- NPI Number: 1669092045
- Provider Enumeration Date: 04/25/2020
- Last Update Date: 04/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 9739628694
- Enrollment ID: I20240823001855
Medical Identifiers
Medical identifiers for Crystal Nwannunu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669092045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 0101282802 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Clinical Dermatology Center Llc | 7618395658 | 7 |
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 Nwannunu allows following entities to bill medicare on her behalf.
| Entity Name | Clinical Dermatology Center Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902428709 PECOS PAC ID: 7618395658 Enrollment ID: O20200908002701 |
|---|
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 Nwannunu 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 Nwannunu, MD 7000 Fannin St, Houston, TX 77030-5400 Ph: (469) 358-0955 | Crystal Nwannunu, MD 24560 Southpoint Dr, Aldie, VA 20105-3510 Ph: (214) 553-0017 |
Reviews and Comments