Jacy Killian Crocker, RN in High Point, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Jacy Killian Crocker, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in High Point, North Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Carolina Anesthesiology Pa and her current practice location is 401 Ferndale Blvd, High Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 882-2567.

Jacy Killian Crocker is licensed to practice in North Carolina (license number 108810) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528444080.

Contact Information

	Jacy Killian Crocker, RN
	401 Ferndale Blvd, High Point, NC 27262-4739
	(336) 882-2567
	(336) 882-2567

Map and Direction

Provider's Profile

Full Name	Jacy Killian Crocker
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	401 Ferndale Blvd, High Point, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacy Killian Crocker graduated from nursing school in 2015

NPI Data:

NPI Number: 1528444080
Provider Enumeration Date: 08/07/2015
Last Update Date: 09/22/2015

Medicare PECOS Information:

PECOS PAC ID: 1759681976
Enrollment ID: I20151119001853

Medical Identifiers

Medical identifiers for Jacy Killian Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528444080	NPI	-	NPPES
230341	Other	NC	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	230341 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	108810 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
High Point Regional Health System	High point, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Anesthesiology Pa	7214841410	55

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. Jacy Killian Crocker allows following entities to bill medicare on her behalf.

Entity Name	Carolina Anesthesiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629032347 PECOS PAC ID: 7214841410 Enrollment ID: O20031112000766

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. Jacy Killian Crocker 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
Jacy Killian Crocker, RN Po Box 2324, High Point, NC 27261-2324 Ph: (336) 882-2567	Jacy Killian Crocker, RN 401 Ferndale Blvd, High Point, NC 27262-4739 Ph: (336) 882-2567

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in High Point, NC

Joanna N Huckabee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466
Linda G Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 333-688-2546
David A Adeloye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466
Teresa L Dent-bonnette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466
Laurie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466
Mrs. Maryann Daly Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, Carolina Anesthesiology Pa, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466
Jo B Hufford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466

Jacy Killian Crocker, RN - Medicare Certified Registered Nurse Anesthetist (crna) in High Point, NC