John Driver Crocker, MD | |
620 Skyline Drive, Jackson, TN 38301-3901 | |
(731) 541-6174 | |
Not Available |
Full Name | John Driver Crocker |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | 620 Skyline Drive, Jackson, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598732299 | NPI | - | NPPES |
300130584 | Other | RR MEDICARE | |
3873150 | Medicaid | TN | |
3873151 | Medicaid | TN | |
3873155 | Medicaid | TN | |
4035598 | Other | BCBS | |
4102197 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36030 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Milan General Hospital | Milan, TN | Hospital |
Volunteer Community Hospital | Martin, TN | Hospital |
Camden General Hospital | Camden, TN | Hospital |
Bolivar General Hospital | Bolivar, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Clinic Pa | 2668376872 | 179 |
Jackson Radiology Associates Pa | 6305893231 | 27 |
Entity Name | Jackson Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Entity Name | Jackson Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399 |
Mailing Address | Practice Location Address |
---|---|
John Driver Crocker, MD Po Box 11955, Jackson, TN 38308-0132 Ph: (731) 541-5000 | John Driver Crocker, MD 620 Skyline Drive, Jackson, TN 38301-3901 Ph: (731) 541-6174 |
Timothy Ray Crossett, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-425-6274 | |
Joe Brown Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 616 W Forest Ave, Jackson, TN 38301 Phone: 731-422-0288 | |
Dr. Jack R Allison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0329 | |
Carson Kisner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Physicians Dr, Jackson, TN 38305 Phone: 731-240-1747 Fax: 731-240-1755 | |
Dr. Allen L Schlamp, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-660-8759 | |
Dr. James Lee Ellis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 | |
Mr. Adam Lee Summerlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 |