Mr Terry Dwight Crickenberger, NP, CNS is a
Nurse Practitioner - Psychiatric/mental Health based in Staunton, Virginia. Mr Terry Dwight Crickenberger is licensed to practice in Virginia (license number 0017139232) and his current practice location is
1355 Richmond Ave, Staunton, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 332-2142.
NPI number for Mr Terry Dwight Crickenberger is 1891063798 and his current mailing address is 1355 Richmond Ave, Staunton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891063798.
Healthcare Provider's Profile
| Full Name | Mr Terry Dwight Crickenberger |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 1355 Richmond Ave, Staunton, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891063798
- Provider Enumeration Date: 12/06/2011
- Last Update Date: 09/19/2012
Medical Identifiers
Medical identifiers for Mr Terry Dwight Crickenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891063798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0015000523 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0017139232 (Virginia) | 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 Terry Dwight Crickenberger 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 Terry Dwight Crickenberger, NP, CNS
1355 Richmond Ave,
Staunton, VA 24401-9146
Ph: (540) 332-2142 | Mr Terry Dwight Crickenberger, NP, CNS
1355 Richmond Ave,
Staunton, VA 24401-9146
Ph: (540) 332-2142 |
Reviews and Comments