Tierra N Crockett, MD - Medicare Pediatrics in Point Pleasant, WV

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Tierra N Crockett, MD is a medicare enrolled "Pediatrics" physician in Point Pleasant, West Virginia. Her current practice location is 2801 Jackson Ave, Point Pleasant, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 675-4107.

Tierra N Crockett is licensed to practice in West Virginia (license number 27014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518302207.

Contact Information

Tierra N Crockett, MD
2801 Jackson Ave,
Point Pleasant, WV 25550-1713
(304) 675-4107
(304) 675-4233

Map and Direction




Physician's Profile

Full NameTierra N Crockett
GenderFemale
SpecialityPediatrics
Location2801 Jackson Ave, Point Pleasant, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518302207
  • Provider Enumeration Date: 05/08/2013
  • Last Update Date: 08/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8729229877
  • Enrollment ID: I20161102000982

Medical Identifiers

Medical identifiers for Tierra N Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518302207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 27014 (West Virginia)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. Tierra N Crockett allows following entities to bill medicare on her behalf.
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1902962368
PECOS PAC ID: 9931017969
Enrollment ID: O20040325000411
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902962368
PECOS PAC ID: 9931017969
Enrollment ID: O20040325000570
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1124323340
PECOS PAC ID: 9931017969
Enrollment ID: O20120917000531
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1659346757
PECOS PAC ID: 9931017969
Enrollment ID: O20130416000329
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164730271
PECOS PAC ID: 9931017969
Enrollment ID: O20130611000841
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154697431
PECOS PAC ID: 9931017969
Enrollment ID: O20130807000731
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1760458350
PECOS PAC ID: 9931017969
Enrollment ID: O20131108000224
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407466535
PECOS PAC ID: 9931017969
Enrollment ID: O20201121000107

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. Tierra N 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 AddressPractice Location Address
Tierra N Crockett, MD
2585 3rd Ave,
Huntington, WV 25703-1642

Ph: (304) 697-1396		Tierra N Crockett, MD
2801 Jackson Ave,
Point Pleasant, WV 25550-1713

Ph: (304) 675-4107

Reviews and Comments


Pediatrics Doctors in Point Pleasant, WV

Dr. John Franklin Wiltz, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2801 Jackson Ave, Point Pleasant, WV 25550
Phone: 304-675-4107    Fax: 304-697-2086

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.