Cortney Crocker, CPNP-PC is a
Nurse Practitioner - Pediatrics based in Mancelona, Michigan. Cortney Crocker is licensed to practice in Michigan (license number 4704271709) and her current practice location is
205 Grove St, Mancelona, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 587-9840.
NPI number for Cortney Crocker is 1649636853 and her current mailing address is 220 W Garfield Ave, Charlevoix, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649636853.
Provider's Profile
Full Name | Cortney Crocker |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 205 Grove St, Mancelona, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649636853
- Provider Enumeration Date: 01/05/2016
- Last Update Date: 07/21/2021
Medical Identifiers
Medical identifiers for Cortney Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649636853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 2529 (Hawaii) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 2015039036 (Missouri) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 4704271709 (Michigan) | Primary |
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. Cortney Crocker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cortney Crocker, CPNP-PC 220 W Garfield Ave, Charlevoix, MI 49720-1631 Ph: (231) 547-6523 | Cortney Crocker, CPNP-PC 205 Grove St, Mancelona, MI 49659-8018 Ph: (231) 587-9840 |
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