Terry A Crafton, MD - Medicare Emergency Medicine in Russellville, KY

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Terry A Crafton, MD is a medicare enrolled "Emergency Medicine" physician in Russellville, Kentucky. His current practice location is 1625 Nashville St, Russellville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 725-4770.

Terry A Crafton is licensed to practice in Kentucky (license number 40469) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427155258.

Contact Information

Terry A Crafton, MD
1625 Nashville St,
Russellville, KY 42276-8853
(270) 725-4770
Not Available

Map and Direction




Physician's Profile

Full NameTerry A Crafton
GenderMale
SpecialityEmergency Medicine
Location1625 Nashville St, Russellville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427155258
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991801383
  • Enrollment ID: I20070501000458

Medical Identifiers

Medical identifiers for Terry A Crafton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427155258NPI-NPPES
0600264MedicaidOH
000000031493OtherINBLUE SHIELD - REID HOSP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01032882 (Indiana)Secondary
207P00000XEmergency Medicine 40469 (Kentucky)Primary

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. Terry A Crafton allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285

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. Terry A Crafton 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
Terry A Crafton, MD
450 Tingler Rd E,
Richmond, IN 47374-1012

Ph: (765) 935-5072		Terry A Crafton, MD
1625 Nashville St,
Russellville, KY 42276-8853

Ph: (270) 725-4770

Reviews and Comments


Emergency Medicine Doctors in Russellville, KY

Dr. Akhter S. Khan, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1625 South Nashville Rd, Russellville, KY 42276
Phone: 270-746-9408    
Dr. Carlton Alexander Lee, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1625 Nashville St, Russellville, KY 42276
Phone: 270-725-4770    

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.