Geoffrey Matthew Crockett, MD in Park City, UT

Geoffrey Matthew Crockett, MD is a medicare enrolled "Emergency Medicine" physician in Park City, Utah. He went to Wayne State University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 900 Round Valley Dr, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 658-7000.

Geoffrey Matthew Crockett is licensed to practice in Utah (license number 5848509-1205) 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 1780645697.

Contact Information

	Geoffrey Matthew Crockett, MD
	900 Round Valley Dr, Park City, UT 84060-7552
	(435) 658-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Geoffrey Matthew Crockett
Gender	Male
Speciality	Emergency Medicine
Experience	22 Years
Location	900 Round Valley Dr, Park City, Utah
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:

Geoffrey Matthew Crockett attended and graduated from Wayne State University School Of Medicine in 2002

NPI Data:

NPI Number: 1780645697
Provider Enumeration Date: 03/30/2006
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7911937131
Enrollment ID: I20050817000844

Medical Identifiers

Medical identifiers for Geoffrey Matthew Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780645697	NPI	-	NPPES
D6280	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	5848509-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	5848509-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park City Hospital	Park city, UT	Hospital
Heber Valley Hospital	Heber city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Geoffrey Matthew Crockett allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Geoffrey Matthew 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
Geoffrey Matthew Crockett, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (435) 658-7000	Geoffrey Matthew Crockett, MD 900 Round Valley Dr, Park City, UT 84060-7552 Ph: (435) 658-7000

Reviews and Comments

Emergency Medicine Doctors in Park City, UT

Lisa M Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979
Dr. Michael Andrew Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-7640
Austin Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7500
David Rick Sutherland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-659-7000
Dr. Mohammad M. Dbeisi I, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 801-442-1702
Jaron Ann Santelli, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000

Geoffrey Matthew Crockett, MD - Medicare Emergency Medicine in Park City, UT