Crystal Ruddell Meredith, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jena, Louisiana. Her current practice location is
187 Ninth Street, Jena, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 992-9296.
Crystal Ruddell Meredith is licensed to practice in Louisiana (license number PA.200237) 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 1881845824.
Provider's Profile
| Full Name | Crystal Ruddell Meredith |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 187 Ninth Street, Jena, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881845824
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 10/14/2009
Medicare PECOS Information:
- PECOS PAC ID: 8527107176
- Enrollment ID: I20091120000391
Medical Identifiers
Medical identifiers for Crystal Ruddell Meredith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881845824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PA.200237 (Louisiana) | 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 Ruddell Meredith allows following entities to bill medicare on her behalf.
| Entity Name | Lasalle Parish Hospital Service Dist No1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
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| Entity Name | Lasalle Parish Hospital Service Dist No1 |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1639263189 PECOS PAC ID: 6709781545 Enrollment ID: O20110114000363 |
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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 Ruddell Meredith 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 Ruddell Meredith, PA-C 187 Ninth Street, P.o. Box 2780, Jena, LA 71342-2780 Ph: (318) 992-9200 | Crystal Ruddell Meredith, PA-C 187 Ninth Street, Jena, LA 71342 Ph: (318) 992-9296 |
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