Crystal Ray Medical P.c. is a medicare enrolled "Psychiatry & Neurology - Neurology" provider in Rego Park, New York. Their current practice location is
9614 63rd Dr, Suite 200, Rego Park, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 896-0111.
Crystal Ray Medical P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Crystal Ray Medical P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881819308.
Healthcare Provider's Profile
Full Name | Crystal Ray Medical P.c. |
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Type | Facility |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 9614 63rd Dr, Rego Park, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881819308
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 04/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 0648377986
- Enrollment ID: O20070521000392
Medical Identifiers
Medical identifiers for Crystal Ray Medical P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881819308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Crystal Ray Medical P.c. acts as a billing entity for following providers:
Provider Name | Igor E Cohen |
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Provider Type | Practitioner - Neurology |
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Provider Identifiers | NPI Number: 1023046968 PECOS PAC ID: 6507849296 Enrollment ID: I20040611001515 |
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Provider Name | Ahmed M Maati |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1205272887 PECOS PAC ID: 2062647183 Enrollment ID: I20131028000369 |
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Provider Name | Ahmed Mohamed Kadry Hassanein |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1407347156 PECOS PAC ID: 1254672736 Enrollment ID: I20190410001218 |
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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 Ray Medical P.c. 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 Ray Medical P.c. 9614 63rd Dr, Suite 200, Rego Park, NY 11374-2239 Ph: (718) 896-0111 | Crystal Ray Medical P.c. 9614 63rd Dr, Suite 200, Rego Park, NY 11374-2239 Ph: (718) 896-0111 |
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