Jessica Renae Craddock, MD - Medicare Neurology in Spokane, WA

Jessica Renae Craddock, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Spokane, Washington. She went to West Virginia University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Providence Health And Services Washington and her current practice location is 212 E Central Ave, Suite 440, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 252-9602.

Jessica Renae Craddock is licensed to practice in Washington (license number MD60644738) 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 1154614469.

Contact Information

Jessica Renae Craddock, MD
212 E Central Ave, Suite 440,
Spokane, WA 99208-6291
(509) 252-9602
(509) 789-9031

Map and Direction




Physician's Profile

Full NameJessica Renae Craddock
GenderFemale
SpecialityNeurology
Experience13 Years
Location212 E Central Ave, Spokane, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Renae Craddock attended and graduated from West Virginia University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1154614469
  • Provider Enumeration Date: 05/19/2011
  • Last Update Date: 05/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9739405101
  • Enrollment ID: I20160523002062

Medical Identifiers

Medical identifiers for Jessica Renae Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154614469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD60644738 (Washington)Secondary
390200000XStudent In An Organized Health Care Education/training Program 173365 (North Carolina)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD60644738 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Vna Home HealthSpokane, WAHome health agency
Providence Holy Family HospitalSpokane, WAHospital
Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WAHospital
Providence Mount Carmel HospitalColville, WAHospital
Pullman Regional HospitalPullman, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington0345139929694

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. Jessica Renae Craddock allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20040311001453

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. Jessica Renae Craddock 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 AddressPractice Location Address
Jessica Renae Craddock, MD
Po Box 421,
Liberty Lake, WA 99019-0421

Ph: (866) 747-2455
Jessica Renae Craddock, MD
212 E Central Ave, Suite 440,
Spokane, WA 99208-6291

Ph: (509) 252-9602

Reviews and Comments


Psychiatry & Neurology Doctors in Spokane, WA

Robert Leonard Mulvihill, MD
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Phone: 509-838-4651    Fax: 509-363-2762
Dr. Jason Lamar Aldred, M.D.
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Laura C Moss, M.D.
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Phone: 509-474-4818    
Thomas Stanley Beck Jr., M.D.
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Medicare: Medicare Enrolled
Practice Location: 107 S Division St, Spokane, WA 99202
Phone: 509-838-4651    Fax: 509-363-2762

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.