Crystal Eze, PMHNP-BC in Stockton, CA - Medicare Nurse Practitioner

Crystal Eze, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stockton, California. Her current practice location is 2505 W Hammer Ln, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 524-9401.

Crystal Eze is licensed to practice in California (license number 95033110) 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 1659193720.

Contact Information

	Crystal Eze, PMHNP-BC
	2505 W Hammer Ln, Stockton, CA 95209-2839
	(209) 524-9401
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Eze
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2505 W Hammer Ln, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659193720
Provider Enumeration Date: 10/29/2024
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3577092048
Enrollment ID: I20250128005008

Medical Identifiers

Medical identifiers for Crystal Eze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659193720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	237818 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	237818 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95033110 (California)	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. Crystal Eze allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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 Eze 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 Eze, PMHNP-BC 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 Ph: () -	Crystal Eze, PMHNP-BC 2505 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 524-9401

Reviews and Comments

Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750
Rex Ambatali Jr., AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530
Shubhpreet Kaur Sohal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-466-0456
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051

Crystal Eze, PMHNP-BC - Medicare Nurse Practitioner in Stockton, CA