Ms Crystal Marie Devivo, PA-C - Medicare Physician Assistant in Aiken, SC

Ms Crystal Marie Devivo, PA-C is a medicare enrolled "Physician Assistant" in Aiken, South Carolina. Her current practice location is 216 Edgefield Ave Nw, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 648-4224.

Ms Crystal Marie Devivo is licensed to practice in South Carolina (license number 821) 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 1265666861.

Contact Information

Ms Crystal Marie Devivo, PA-C
216 Edgefield Ave Nw,
Aiken, SC 29801-3910
(803) 648-4224
(803) 641-7600



Provider's Profile

Full NameMs Crystal Marie Devivo
GenderFemale
SpecialityPhysician Assistant
Location216 Edgefield Ave Nw, Aiken, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265666861
  • Provider Enumeration Date: 05/11/2009
  • Last Update Date: 11/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4183667769
  • Enrollment ID: I20190409000972

Medical Identifiers

Medical identifiers for Ms Crystal Marie Devivo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265666861NPI-NPPES
1055040OtherNCCPA CERTIFICATION
1115PAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 821 (South Carolina)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. Ms Crystal Marie Devivo 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
Ms Crystal Marie Devivo, PA-C
2 Westshire Pl,
North Augusta, SC 29841-3375

Ph: (803) 648-4224
Ms Crystal Marie Devivo, PA-C
216 Edgefield Ave Nw,
Aiken, SC 29801-3910

Ph: (803) 648-4224

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Physician Assistant Nurses in Aiken, SC

Tori Jolly, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 131 Rinehart Way, Aiken, SC 29803
Phone: 803-335-2200    Fax: 803-649-7966
Erin P Stewart, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 131 Rinehart Way, Aiken, SC 29803
Phone: 803-335-2200    Fax: 803-649-7966
Mr. William Kevin Higgins, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 302 University Pkwy, Aiken, SC 29801
Phone: 806-641-5100    
Mr. Michael Edward Spillane, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 440 Society Hill Dr Ste 100a, Aiken, SC 29803
Phone: 032-260-1028    Fax: 803-226-0384
Ms. Veronica Marie Chavis, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 137 Miracle Drive, Nw, Aiken, SC 29801
Phone: 803-641-4874    Fax: 803-641-0436
Jory Gibbons Croft, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Aiken Specialty Services, 209 Abbeville Ave Nw, Aiken, SC 29801
Phone: 803-306-1433    
Stephen Rozier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Two Notch Rd Se, Aiken, SC 29803
Phone: 803-649-3909    Fax: 803-642-8495

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