Dr Todd James Crockett, DDS is a medicare enrolled "Dentist" provider in Lame Deer, Montana. His current practice location is
100 Cheyenne Ave., Lame Deer, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 477-4509.
Dr Todd James Crockett is licensed to practice in Missouri (license number 2006021224) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457560815.
Healthcare Provider's Profile
| Full Name | Dr Todd James Crockett |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 100 Cheyenne Ave., Lame Deer, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457560815
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082934781
- Enrollment ID: I20230214003414
Medical Identifiers
Medical identifiers for Dr Todd James Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457560815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 2006021224 (Missouri) | 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. Dr Todd James Crockett allows following entities to bill medicare on his behalf.
| Entity Name | Us Health Dept Of Health & Human Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972694602
PECOS PAC ID: 9638081623
Enrollment ID: O20031106000399 |
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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. Dr Todd James Crockett 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 |
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Dr Todd James Crockett, DDS
Po Box 2409,
Colstrip, MT 59323-2409
Ph: (406) 740-1281 | Dr Todd James Crockett, DDS
100 Cheyenne Ave.,
Lame Deer, MT 59043
Ph: (406) 477-4509 |
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