Samuel John Crutcher, MD - Medicare Family Practice in Lebanon, TN

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Samuel John Crutcher, MD is a medicare enrolled "Family Medicine" physician in Lebanon, Tennessee. He went to University Of Utah School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Medical Pc and his current practice location is 1407 W Baddour Pkwy, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 444-6203.

Samuel John Crutcher is licensed to practice in Tennessee (license number 45549) 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 1124150016.

Contact Information

Samuel John Crutcher, MD
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513
(615) 444-6203
(615) 444-6252

Map and Direction




Physician's Profile

Full NameSamuel John Crutcher
GenderMale
SpecialityFamily Practice
Experience18 Years
Location1407 W Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel John Crutcher attended and graduated from University Of Utah School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1124150016
  • Provider Enumeration Date: 03/09/2007
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618020223
  • Enrollment ID: I20100831000775

Medical Identifiers

Medical identifiers for Samuel John Crutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124150016NPI-NPPES
MD45549OtherTNLICENSE
29024OtherSCLICENSE
290241MedicaidSC
3035474OtherTNUHC
11970229OtherTNCAQH
1522977MedicaidTN
4272184OtherTNBCBS
7919136OtherTNCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29024 (South Carolina)Secondary
207Q00000XFamily Medicine 45549 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthNashville, TNHome health agency
Kindred At Home 1Lebanon, TNHome health agency
Tristar Summit Medical CenterHermitage, TNHospital
Vanderbilt Wilson County HospitalLebanon, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Medical Pc448654497011

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. Samuel John Crutcher allows following entities to bill medicare on his behalf.
Entity NameFamily Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295805794
PECOS PAC ID: 4486544970
Enrollment ID: O20040318000258

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. Samuel John Crutcher 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
Samuel John Crutcher, MD
1407 W. Baddour Parkway,
Lebanon, TN 37087-2513

Ph: (615) 444-6203		Samuel John Crutcher, MD
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513

Ph: (615) 444-6203

Reviews and Comments


Family Medicine Doctors in Lebanon, TN

Lauren Uichanco, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-8262    
James M Bachstein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 112 Babb Dr, Lebanon, TN 37087
Phone: 615-466-0041    Fax: 615-466-0042
Dr. Thomas P Jaselskis, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 925 E Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-5325    Fax: 615-532-2785
Dr. Roger E Mckinney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-6203    Fax: 615-444-6252
Dr. James M Reed, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-6203    Fax: 615-444-6252
Dr. Leslie M Dally, DO
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1405 W Baddour Pkwy Ste 101, Lebanon, TN 37087
Phone: 615-994-1288    Fax: 615-547-4520

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.