Dr Joel Crockett, MD is a medicare enrolled "Dermatology" physician in Castro Valley, California. He went to Saint Louis University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Csi Medical Group and his current practice location is
20400 Lake Chabot Rd Ste 202, Castro Valley, California. You can reach out to his office (for appointments etc.) via phone at
(510) 881-7822.
Dr Joel Crockett is licensed to practice in California (license number A150539) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316174956.
Physician's Profile
| Full Name | Dr Joel Crockett |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 16 Years |
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| Location | 20400 Lake Chabot Rd Ste 202, Castro Valley, California |
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| Accepts Medicare Assignments | Yes. He 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 Joel Crockett attended and graduated from Saint Louis University School Of Medicine in 2009
NPI Data:
- NPI Number: 1316174956
- Provider Enumeration Date: 06/22/2009
- Last Update Date: 03/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173801370
- Enrollment ID: I20171009001359
Medical Identifiers
Medical identifiers for Dr Joel Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316174956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | A150539 (California) | Primary |
| 207N00000X | Dermatology | 2009016609 (Missouri) | Secondary |
| 207N00000X | Dermatology | 35.122221 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Csi Medical Group | 5890916845 | 100 |
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 Joel Crockett allows following entities to bill medicare on his behalf.
| Entity Name | Csi Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930 |
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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 Joel 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 Joel Crockett, MD
5300 Far Hills Ave,
Dayton, OH 45429-2381
Ph: (937) 433-7536 | Dr Joel Crockett, MD
20400 Lake Chabot Rd Ste 202,
Castro Valley, CA 94546-5315
Ph: (510) 881-7822 |
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