Brenna Catherine Crockwell, AUD is a medicare enrolled "Audiologist" provider in Southbury, Connecticut. Her current practice location is
2 Pomperaug Office Park Ste 307, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 264-8201.
Brenna Catherine Crockwell is licensed to practice in Connecticut (license number 776) 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 1598501918.
Healthcare Provider's Profile
Full Name | Brenna Catherine Crockwell |
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Gender | Female |
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Speciality | Audiologist |
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Location | 2 Pomperaug Office Park Ste 307, Southbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598501918
- Provider Enumeration Date: 07/04/2024
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183162944
- Enrollment ID: I20240813000058
Medical Identifiers
Medical identifiers for Brenna Catherine Crockwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598501918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 776 (Connecticut) | Primary |
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. Brenna Catherine Crockwell allows following entities to bill medicare on her behalf.
Provider Name | Southbury Audiology Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932575610 PECOS PAC ID: 9931419348 Enrollment ID: O20151113000964 |
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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. Brenna Catherine Crockwell 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 |
Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 | Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 |
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