Kelson Crowther, MA is a medicare enrolled "Psychologist" provider in Cornelius, Oregon. His current practice location is
1151 N Adair St, Cornelius, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 359-5564.
Kelson Crowther is licensed to practice in Utah (license number 10906779-2501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508233610.
Healthcare Provider's Profile
| Full Name | Kelson Crowther |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1151 N Adair St, Cornelius, Oregon |
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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: 1508233610
- Provider Enumeration Date: 08/24/2015
- Last Update Date: 12/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294076980
- Enrollment ID: I20240626003374
Medical Identifiers
Medical identifiers for Kelson Crowther such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508233610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 10906779-2501 (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. Kelson Crowther allows following entities to bill medicare on his behalf.
| Entity Name | Midtown Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548267420 PECOS PAC ID: 0345135414 Enrollment ID: O20040218000005 |
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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. Kelson Crowther 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 |
Kelson Crowther, MA 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-3535 | Kelson Crowther, MA 1151 N Adair St, Cornelius, OR 97113-8900 Ph: (503) 359-5564 |
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