Gary Crandell, PA is a medicare enrolled "Physician Assistant" in Bagdad, Arizona. He graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Barnet Dulaney Perkins Eye Center, Pc and his current practice location is
12 Hope Dr, Bagdad, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 633-4111.
Gary Crandell is licensed to practice in Arizona (license number 2203) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528087251.
Provider's Profile
| Full Name | Gary Crandell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 31 Years |
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| Location | 12 Hope Dr, Bagdad, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gary Crandell graduated from nursing school in 1995
NPI Data:
- NPI Number: 1528087251
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 09/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 6507814993
- Enrollment ID: I20050112000578
Medical Identifiers
Medical identifiers for Gary Crandell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528087251 | NPI | - | NPPES |
| 567753 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2203 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Barnet Dulaney Perkins Eye Center, Pc | 0749288298 | 104 |
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. Gary Crandell allows following entities to bill medicare on his behalf.
| Entity Name | Barnet Dulaney Perkins Eye Center, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349 |
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| Entity Name | Emergency Physicians Southwest PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382 |
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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. Gary Crandell 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 |
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Gary Crandell, PA
Po Box 1169, 1891 Bigler Lane,
Heber, AZ 85928-1169
Ph: (928) 633-5922 | Gary Crandell, PA
12 Hope Dr,
Bagdad, AZ 86321
Ph: (928) 633-4111 |
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