Dr Cristal Chanel Kirby, MD in Minden, LA - Medicare Pediatrics

Dr Cristal Chanel Kirby, MD is a medicare enrolled "Pediatrics" physician in Minden, Louisiana. Her current practice location is 164 Country Club Cir Ste B, Minden, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 639-9422.

Dr Cristal Chanel Kirby is licensed to practice in Louisiana (license number 204591) 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 1558529297.

Contact Information

	Dr Cristal Chanel Kirby, MD
	164 Country Club Cir Ste B, Minden, LA 71055-7502
	(318) 639-9422
	(318) 639-9423

Physician's Profile

Full Name	Dr Cristal Chanel Kirby
Gender	Female
Speciality	Pediatrics
Location	164 Country Club Cir Ste B, Minden, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558529297
Provider Enumeration Date: 05/29/2008
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9638432230
Enrollment ID: I20180412002199

Medical Identifiers

Medical identifiers for Dr Cristal Chanel Kirby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558529297	NPI	-	NPPES
2155717	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	204591 (Louisiana)	Primary

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. Dr Cristal Chanel Kirby 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
Dr Cristal Chanel Kirby, MD 164 Country Club Cir Ste B, Minden, LA 71055-7502 Ph: (318) 639-9422	Dr Cristal Chanel Kirby, MD 164 Country Club Cir Ste B, Minden, LA 71055-7502 Ph: (318) 639-9422

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Pediatrics Doctors in Minden, LA

Kimberly Mayo Pool, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1232 Sheppard St, Minden, LA 71055 Phone: 318-377-7116 Fax: 318-377-9979
Ms. Virginia M Quinones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza, Minden, LA 71055 Phone: 318-377-7116 Fax: 318-377-9979
Mr. Michael J Ulich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1232 Sheppard St, Minden, LA 71055 Phone: 318-377-7116 Fax: 318-377-9979
Mrs. Elizabeth Ann Phillips, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 607 Fleming Ln, Minden, LA 71055 Phone: 318-371-2229 Fax: 318-371-2228

Dr Cristal Chanel Kirby, MD - Medicare Pediatrics in Minden, LA