John B Crescitelli D.o. P.a. - Medicare Primary Care in Pompano Beach, FL

John B Crescitelli D.o. P.a. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Pompano Beach, Florida. The current practice location for John B Crescitelli D.o. P.a. is 1 W Sample Rd, Suite 302, Pompano Beach, Florida. For appointments, you can reach them via phone at (954) 366-3332. The mailing address for John B Crescitelli D.o. P.a. is 5944 Coral Ridge Dr, #167, Coral Springs, Florida and phone number is (954) 383-1867.

John B Crescitelli D.o. P.a. is licensed to practice in Florida (license number 7485). The clinic also participates in the medicare program and its NPI number is 1134666423. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 366-3332.

Contact Information

John B Crescitelli D.o. P.a.
1 W Sample Rd
Suite 302
Pompano Beach
FL 33064-3547
(954) 366-3332
(954) 366-4523

Primary Care Clinic Profile

Full NameJohn B Crescitelli D.o. P.a.
SpecialityClinic/Center
Location1 W Sample Rd, Pompano Beach, Florida
Authorized Official Name and PositionJohn B Crescitelli (PHYSICIAN/OWNER)
Authorized Official Contact9543831867
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John B Crescitelli D.o. P.a.
5944 Coral Ridge Dr
#167
Coral Springs
FL 33076-3300

Ph: (954) 383-1867
John B Crescitelli D.o. P.a.
1 W Sample Rd
Suite 302
Pompano Beach
FL 33064-3547

Ph: (954) 366-3332

NPI Details:

NPI Number1134666423
Provider Enumeration Date01/24/2017
Last Update Date01/24/2017

Medicare PECOS Information:

Medicare PECOS PAC ID8325315856
Medicare Enrollment IDO20170605000182

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Medical Identifiers

Medical identifiers for John B Crescitelli D.o. P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134666423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 7485 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. John B Crescitelli D.o. P.a. acts as a billing entity for following providers:
Provider NameJohn B Crescitelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558368225
PECOS PAC ID: 5698828358
Enrollment ID: I20090729000249

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