Dr David Crump, MD is a medicare enrolled "Surgery" physician in Fayetteville, Tennessee. His current practice location is
108 Medical Center Blvd Ste G25, Fayetteville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 438-7344.
Dr David Crump is licensed to practice in Mississippi (license number 13246) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225118441.
Physician's Profile
| Full Name | Dr David Crump |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 108 Medical Center Blvd Ste G25, Fayetteville, Tennessee |
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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: 1225118441
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 01/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911958566
- Enrollment ID: I20050201000839
Medical Identifiers
Medical identifiers for Dr David Crump such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225118441 | NPI | - | NPPES |
| P00205316 | Other | MS | PALMETTO MEDICARE RAILROA |
| 00121751 | Medicaid | MS | |
| C03241 | Other | MS | MEDICARE CAHABA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 13246 (Mississippi) | 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 David Crump allows following entities to bill medicare on his behalf.
| Entity Name | Community Surgical Center Dr. David Crump |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730269846
PECOS PAC ID: 3779534318
Enrollment ID: O20050201000777 |
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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 David Crump 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 David Crump, MD
108 Medical Center Blvd, Steg25,
Fayetteville, TN 37334-2684
Ph: (931) 438-7344 | Dr David Crump, MD
108 Medical Center Blvd Ste G25,
Fayetteville, TN 37334-2741
Ph: (931) 438-7344 |
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