Dr Samuel R Crockett Iii, MD in Wilkes Barre, PA

Dr Samuel R Crockett Iii, MD is a medicare enrolled "Anesthesiology" physician in Wilkes Barre, Pennsylvania. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Geisinger Clinic and his current practice location is 1000 E Mountain Blvd, Dept Of Anesthesia, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 826-7850.

Dr Samuel R Crockett Iii is licensed to practice in Pennsylvania (license number MD073611L) 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 1669448957.

Contact Information

	Dr Samuel R Crockett Iii, MD
	1000 E Mountain Blvd, Dept Of Anesthesia, Wilkes Barre, PA 18711-0027
	(570) 826-7850
	(570) 826-7855

Map and Direction

Physician's Profile

Full Name	Dr Samuel R Crockett Iii
Gender	Male
Speciality	Anesthesiology
Experience	33 Years
Location	1000 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel R Crockett Iii attended and graduated from Virginia Commonwealth University, School Of Medicine in 1991

NPI Data:

NPI Number: 1669448957
Provider Enumeration Date: 02/27/2006
Last Update Date: 08/12/2020

Medicare PECOS Information:

PECOS PAC ID: 7012094758
Enrollment ID: I20080407000000

Medical Identifiers

Medical identifiers for Dr Samuel R Crockett Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669448957	NPI	-	NPPES
001806174	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD073611L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2841

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 Samuel R Crockett Iii allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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 Samuel R Crockett Iii 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 Samuel R Crockett Iii, MD 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144	Dr Samuel R Crockett Iii, MD 1000 E Mountain Blvd, Dept Of Anesthesia, Wilkes Barre, PA 18711-0027 Ph: (570) 826-7850

Reviews and Comments

Anesthesiology Doctors in Wilkes Barre, PA

Glenn E Weaver, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111
Laureen Helen Sheypuk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Dr. Michael Trakas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Susan Dulka, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7779 Fax: 570-808-5390
John M Treven, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111
Dr. Ryan J. Ness, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-8740 Fax: 570-808-8739
Joseph Filler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111

Dr Samuel R Crockett Iii, MD - Medicare Anesthesiology in Wilkes Barre, PA