Dr Crystal L Jencks, MD in Fort Wayne, IN - Medicare Family Practice

Dr Crystal L Jencks, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 11115 Lima Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 478-4201.

Dr Crystal L Jencks is licensed to practice in Indiana (license number 01066698) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508877788.

Contact Information

	Dr Crystal L Jencks, MD
	11115 Lima Rd, Fort Wayne, IN 46818-9536
	(260) 478-4201
	(260) 458-3248

Physician's Profile

Full Name	Dr Crystal L Jencks
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	11115 Lima Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Crystal L Jencks graduated from medical school in 2006

NPI Data:

NPI Number: 1508877788
Provider Enumeration Date: 08/11/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8426103755
Enrollment ID: I20090909000701

Medical Identifiers

Medical identifiers for Dr Crystal L Jencks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508877788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11013271 (Indiana)	Secondary
207Q00000X	Family Medicine	M-12895 (Idaho)	Secondary
207Q00000X	Family Medicine	01066698 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dupont Hospital Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Medical Group Llc	4981751617	261

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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. Dr Crystal L Jencks allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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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. Dr Crystal L Jencks 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 Crystal L Jencks, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 478-4201	Dr Crystal L Jencks, MD 11115 Lima Rd, Fort Wayne, IN 46818-9536 Ph: (260) 478-4201

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Novel Northwestern University QI educational program proves beneficial for surgical trainees

2% of U.S. medical students plan to become primary care physicians, study says

A primary care physician for every American, science panel urges

Elan, Proteostasis create innovative drug discovery initiative for neurodegenerative disorders

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Samantha Dawn Warden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802 Phone: 260-423-2675 Fax: 260-423-6621
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065

Dr Crystal L Jencks, MD - Medicare Family Practice in Fort Wayne, IN

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

Novel Northwestern University QI educational program proves beneficial for surgical trainees

2% of U.S. medical students plan to become primary care physicians, study says

A primary care physician for every American, science panel urges

Elan, Proteostasis create innovative drug discovery initiative for neurodegenerative disorders

Medicare Reassignments

Novel Northwestern University QI educational program proves beneficial for surgical trainees

2% of U.S. medical students plan to become primary care physicians, study says

A primary care physician for every American, science panel urges

Elan, Proteostasis create innovative drug discovery initiative for neurodegenerative disorders

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Novel Northwestern University QI educational program proves beneficial for surgical trainees

2% of U.S. medical students plan to become primary care physicians, study says

A primary care physician for every American, science panel urges

Elan, Proteostasis create innovative drug discovery initiative for neurodegenerative disorders

Family Medicine Doctors in Fort Wayne, IN