Abraham Crockett, RN in Newport, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Abraham Crockett, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport, Oregon. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Bend Anesthesiology Group, Pc and his current practice location is 930 Sw Abbey St, Newport, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 265-2244.

Abraham Crockett is licensed to practice in Oregon (license number 201507563CRNA-PP) 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 1821464264.

Contact Information

	Abraham Crockett, RN
	930 Sw Abbey St, Newport, OR 97365-4820
	(541) 265-2244
	Not Available

Map and Direction

Provider's Profile

Full Name	Abraham Crockett
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	930 Sw Abbey St, Newport, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abraham Crockett graduated from nursing school in 2015

NPI Data:

NPI Number: 1821464264
Provider Enumeration Date: 08/20/2015
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 1951611458
Enrollment ID: I20151113000144

Medical Identifiers

Medical identifiers for Abraham Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821464264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201041236RN (Oregon)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201507563CRNA-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bend Anesthesiology Group, Pc	4880683788	53

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. Abraham Crockett allows following entities to bill medicare on his behalf.

Entity Name	St Charles Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045

Entity Name	Bend Anesthesiology Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467400200 PECOS PAC ID: 4880683788 Enrollment ID: O20040506001575

Entity Name	Samaritan Pacific Health Services Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163

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. Abraham 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 Address	Practice Location Address
Abraham Crockett, RN Po Box 2847, Corvallis, OR 97339-2847 Ph: () -	Abraham Crockett, RN 930 Sw Abbey St, Newport, OR 97365-4820 Ph: (541) 265-2244

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Newport, OR

Cameron Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244
Mekenzie Spencer Johnston Kmack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838
Mr. Brent D. Bunker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838
Angel Sidell, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244
Ms. Cynthia A. Jacobi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey Street, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838
Ronald D Gilliam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 208-484-2193

Abraham Crockett, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Newport, OR