Dr John Crocker, is a medicare enrolled "Family Medicine" physician in Centerville, Washington. His current practice location is
366 Simcoe Mt. Road, Centerville, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 834-1947.
Dr John Crocker is licensed to practice in Maine (license number 016884) 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 1144300377.
Physician's Profile
| Full Name | Dr John Crocker |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 366 Simcoe Mt. Road, Centerville, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1144300377
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123917390
- Enrollment ID: I20160812001780
Medical Identifiers
Medical identifiers for Dr John Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144300377 | NPI | - | NPPES |
| 119224 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 016884 (Maine) | Primary |
| 207Q00000X | Family Medicine | MD00019205 (Washington) | Secondary |
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 John 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 John Crocker,
366 Simcoe Mt. Road,
Centerville, WA 98613
Ph: (509) 834-1947 | Dr John Crocker,
366 Simcoe Mt. Road,
Centerville, WA 98613
Ph: (509) 834-1947 |
Reviews and Comments