Crystal Dawn Lowder-tibbs, FNP is a medicare enrolled "Nurse Practitioner - Family" in Boones Mill, Virginia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wythe County Physician Practices Llc and her current practice location is
1054 Boones Mill Rd, Boones Mill, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 724-0967.
Crystal Dawn Lowder-tibbs is licensed to practice in Virginia (license number 0024179874) 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 1811509599.
Provider's Profile
Full Name | Crystal Dawn Lowder-tibbs |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 1054 Boones Mill Rd, Boones Mill, Virginia |
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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 Dawn Lowder-tibbs graduated from nursing school in 2020
NPI Data:
- NPI Number: 1811509599
- Provider Enumeration Date: 08/23/2020
- Last Update Date: 08/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335549690
- Enrollment ID: I20210609000164
Medical Identifiers
Medical identifiers for Crystal Dawn Lowder-tibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811509599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0024179874 (Virginia) | Primary |
207Q00000X | Family Medicine | 0024179874 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wythe County Physician Practices Llc | 7517972789 | 18 |
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 Dawn Lowder-tibbs allows following entities to bill medicare on her behalf.
Entity Name | Wythe County Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780630327 PECOS PAC ID: 7517972789 Enrollment ID: O20060209000451 |
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Entity Name | Brock Hughes Free Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558522938 PECOS PAC ID: 0042542144 Enrollment ID: O20191022002906 |
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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. Crystal Dawn Lowder-tibbs 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 Dawn Lowder-tibbs, FNP 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 Ph: (276) 724-0967 | Crystal Dawn Lowder-tibbs, FNP 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 Ph: (276) 724-0967 |
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