Douglas C Crutcher, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cynthiana, Kentucky. His current practice location is
1210 Ky Highway 36 E, Cynthiana, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 234-2300.
Douglas C Crutcher is licensed to practice in Kentucky (license number 22755) 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 1063464758.
Physician's Profile
| Full Name | Douglas C Crutcher |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 1210 Ky Highway 36 E, Cynthiana, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063464758
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 09/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375434731
- Enrollment ID: I20040324000075
Medical Identifiers
Medical identifiers for Douglas C Crutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063464758 | NPI | - | NPPES |
| 64227556 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 22755 (Kentucky) | 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. Douglas C Crutcher allows following entities to bill medicare on his behalf.
| Entity Name | Kentucky Medical Imaging Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073565248
PECOS PAC ID: 8426949892
Enrollment ID: O20040324000142 |
|---|
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. Douglas C Crutcher 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 |
|---|
Douglas C Crutcher, MD
1700 Eastpoint Pkwy, Suite 220,
Louisville, KY 40223-4140
Ph: (502) 753-4949 | Douglas C Crutcher, MD
1210 Ky Highway 36 E,
Cynthiana, KY 41031-7498
Ph: (859) 234-2300 |
Reviews and Comments