Mr Roy Crocker, is a
Counselor - Mental Health based in Ash Grove, Missouri. Mr Roy Crocker is licensed to practice in Missouri (license number 2003032197) and his current practice location is
393 Lawrence 1189, Ash Grove, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 343-8556.
NPI number for Mr Roy Crocker is 1225173354 and his current mailing address is 393 Lawrence 1189, Ash Grove, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225173354.
Healthcare Provider's Profile
| Full Name | Mr Roy Crocker |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 393 Lawrence 1189, Ash Grove, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225173354
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Roy Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225173354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2003032197 (Missouri) | 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. Mr Roy Crocker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roy Crocker,
393 Lawrence 1189,
Ash Grove, MO 65604
Ph: (417) 343-8556 | Mr Roy Crocker,
393 Lawrence 1189,
Ash Grove, MO 65604
Ph: (417) 343-8556 |
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