Jacquelyn Faryn Crews, MD is a medicare enrolled "Pediatrics" physician in St. Petersburg, Florida. Her current practice location is
501 6th Ave South, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 767-4106.
Jacquelyn Faryn Crews is licensed to practice in Florida (license number 131145) 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 1275945305.
Physician's Profile
Full Name | Jacquelyn Faryn Crews |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 501 6th Ave South, St. Petersburg, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275945305
- Provider Enumeration Date: 05/23/2014
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3870867591
- Enrollment ID: I20170919003998
Medical Identifiers
Medical identifiers for Jacquelyn Faryn Crews such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275945305 | NPI | - | NPPES |
020389300 | Medicaid | FL | |
131145 | Other | FL | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 131145 (Florida) | 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. Jacquelyn Faryn Crews allows following entities to bill medicare on her behalf.
Entity Name | Pediatric Physician Services, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
---|
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. Jacquelyn Faryn Crews 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 |
Jacquelyn Faryn Crews, MD 601 5th St S Ste 504, St Petersburg, FL 33701-4804 Ph: (727) 767-8917 | Jacquelyn Faryn Crews, MD 501 6th Ave South, St. Petersburg, FL 33701 Ph: (727) 767-4106 |
Reviews and Comments