Crystal A De Wit, DO - Medicare Emergency Medicine in Bridgeport, WV

Crystal A De Wit, DO is a medicare enrolled "Emergency Medicine" physician in Bridgeport, West Virginia. Her current practice location is 527 Medical Park Dr Ste 500, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (681) 342-3600.

Crystal A De Wit is licensed to practice in West Virginia (license number 3780) 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 1114980406.

Contact Information

Crystal A De Wit, DO
527 Medical Park Dr Ste 500,
Bridgeport, WV 26330-9010
(681) 342-3600
Not Available



Physician's Profile

Full NameCrystal A De Wit
GenderFemale
SpecialityEmergency Medicine
Location527 Medical Park Dr Ste 500, Bridgeport, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114980406
  • Provider Enumeration Date: 04/09/2006
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163440306
  • Enrollment ID: I20051107000616

Medical Identifiers

Medical identifiers for Crystal A De Wit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114980406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 3780 (West Virginia)Secondary
207Q00000XFamily Medicine 3780 (West Virginia)Secondary
207P00000XEmergency Medicine 3780 (West Virginia)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 A De Wit allows following entities to bill medicare on her behalf.
Entity NamePunxsutawney Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265449870
PECOS PAC ID: 3375517147
Enrollment ID: O20040830000460

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Entity NameOhio Valley General Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1790341907
PECOS PAC ID: 8123079613
Enrollment ID: O20190710002607

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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 A De Wit 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 AddressPractice Location Address
Crystal A De Wit, DO
12 Ashbury Ln,
Fairmont, WV 26554-3473

Ph: (412) 303-0494
Crystal A De Wit, DO
527 Medical Park Dr Ste 500,
Bridgeport, WV 26330-9010

Ph: (681) 342-3600

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Emergency Medicine Doctors in Bridgeport, WV

Harry Marinakis, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 49 E Wexford Way, Bridgeport, WV 26330
Phone: 304-669-6720    
Justine A Pagenhardt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 681-342-1000    
Dr. Dale Mcmillion, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 304-293-2436    
Dr. Stuart Patterson Godwin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 304-293-2436    Fax: 304-285-7126
Dr. Robert Lehki, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 681-342-1000    
Jessica Neidhardt, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330
Phone: 681-342-1000    
Dr. Timothy M Peasak, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1370 Johnson Ave, 1st Floor, Bridgeport, WV 26330
Phone: 304-842-3330    Fax: 304-842-3303

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