Crystal Terry, DNP is a medicare enrolled "Nurse Practitioner" in Willard, Utah. Her current practice location is
Po Box 161, Willard, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 287-5092.
Crystal Terry is licensed to practice in Utah (license number 9806366-4405) 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 1619761558.
Provider's Profile
Full Name | Crystal Terry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | Po Box 161, Willard, Utah |
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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: 1619761558
- Provider Enumeration Date: 04/07/2025
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709305139
- Enrollment ID: I20250528003184
Medical Identifiers
Medical identifiers for Crystal Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619761558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 9806366-4405 (Utah) | 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 Terry allows following entities to bill medicare on her behalf.
Entity Name | Jordan Landing Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962606657 PECOS PAC ID: 5193825131 Enrollment ID: O20070705000371 |
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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 Terry 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 Terry, DNP Po Box 161, Willard, UT 84340-0161 Ph: (435) 287-5092 | Crystal Terry, DNP Po Box 161, Willard, UT 84340-0161 Ph: (435) 287-5092 |
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