Dr Corinne P Krist, DO is a medicare enrolled "Pediatrics" physician in Irving, New York. Her current practice location is
275 Thomas Indian School Dr, Irving, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 532-5582.
Dr Corinne P Krist is licensed to practice in New York (license number 262755) 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 1417258880.
Physician's Profile
| Full Name | Dr Corinne P Krist |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 275 Thomas Indian School Dr, Irving, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417258880
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 12/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082885728
- Enrollment ID: I20110929000067
Medical Identifiers
Medical identifiers for Dr Corinne P Krist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417258880 | NPI | - | NPPES |
| 03383924 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 262755 (New York) | Secondary |
| 208000000X | Pediatrics | 262755 (New York) | 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. Dr Corinne P Krist allows following entities to bill medicare on her behalf.
| Entity Name | Seneca Nation Of Indians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023033511
PECOS PAC ID: 8123920592
Enrollment ID: O20040126000146 |
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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. Dr Corinne P Krist 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 |
|---|
Dr Corinne P Krist, DO
987 R C Hoag Dr,
Salamanca, NY 14779-1365
Ph: (716) 945-5894 | Dr Corinne P Krist, DO
275 Thomas Indian School Dr,
Irving, NY 14081-9341
Ph: (716) 532-5582 |
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