Dr Deidre Denise Crocker, MD is a medicare enrolled "Allergy & Immunology" physician in Conyers, Georgia. Her current practice location is
2390 Wall St Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 922-5696.
Dr Deidre Denise Crocker is licensed to practice in Georgia (license number 056811) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790947117.
Physician's Profile
| Full Name | Dr Deidre Denise Crocker |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2390 Wall St Se, Conyers, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Deidre Denise Crocker attended and graduated from in
NPI Data:
- NPI Number: 1790947117
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Deidre Denise Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790947117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 056811 (Georgia) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 056811 (Georgia) | Secondary |
| 207K00000X | Allergy & Immunology | 056811 (Georgia) | 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. Dr Deidre Denise Crocker 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 |
|---|
Dr Deidre Denise Crocker, MD
2390 Wall St Se,
Conyers, GA 30013-2150
Ph: (770) 922-5696 | Dr Deidre Denise Crocker, MD
2390 Wall St Se,
Conyers, GA 30013-2150
Ph: (770) 922-5696 |
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