Dr Crystal Lane Tate, MD - Medicare Family Practice in Ecru, MS

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Dr Crystal Lane Tate, MD is a medicare enrolled "Family Medicine" physician in Ecru, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ms State Department Of Health and her current practice location is 375 Main St, Ecru, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 489-5609.

Dr Crystal Lane Tate is licensed to practice in Mississippi (license number 13565) 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 1255390472.

Contact Information

Dr Crystal Lane Tate, MD
375 Main St,
Ecru, MS 38841-9118
(662) 489-5609
(662) 489-3814



Physician's Profile

Full NameDr Crystal Lane Tate
GenderFemale
SpecialityFamily Practice
Experience32 Years
Location375 Main St, Ecru, Mississippi
Accepts Medicare AssignmentsYes. 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 Lane Tate attended and graduated from University Of Mississippi School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1255390472
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 12/04/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2567641277
  • Enrollment ID: I20110127000447

Medical Identifiers

Medical identifiers for Dr Crystal Lane Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255390472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 13565 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ms State Department Of Health02441292454

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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 Lane Tate allows following entities to bill medicare on her behalf.
Entity NameMs State Department Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053489260
PECOS PAC ID: 0244129245
Enrollment ID: O20040315000937

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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 Lane Tate 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
Dr Crystal Lane Tate, MD
Po Box 492,
Ecru, MS 38841-0492

Ph: (662) 489-5609		Dr Crystal Lane Tate, MD
375 Main St,
Ecru, MS 38841-9118

Ph: (662) 489-5609

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Family Medicine Doctors in Ecru, MS


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