Jared Crocker, CRNA in Leitchfield, KY - Medicare Nurse Anesthetist, Certified Registered

Jared Crocker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Leitchfield, Kentucky. His current practice location is 910 Wallace Ave, Leitchfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 274-0480.

Jared Crocker is licensed to practice in Kentucky (license number 3013154) 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 1114442324.

Contact Information

	Jared Crocker, CRNA
	910 Wallace Ave, Leitchfield, KY 42754-2414
	(270) 274-0480
	Not Available

Map and Direction

Provider's Profile

Full Name	Jared Crocker
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	910 Wallace Ave, Leitchfield, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114442324
Provider Enumeration Date: 08/08/2017
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 4284974726
Enrollment ID: I20190320002596

Medical Identifiers

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

Identifier	Type	State	Issuer
1114442324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3013154 (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. Jared Crocker allows following entities to bill medicare on his behalf.

Entity Name	Conoloway Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144965955 PECOS PAC ID: 9133590201 Enrollment ID: O20230127001890

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. Jared 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
Jared Crocker, CRNA 119 John Austin Ln, Mt Washington, KY 40047-6349 Ph: () -	Jared Crocker, CRNA 910 Wallace Ave, Leitchfield, KY 42754-2414 Ph: (270) 274-0480

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Leitchfield, KY

John Anthony Lyons, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470
Rodney D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512
Mrs. Merry Lynn Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 Fax: 270-259-1662
Callie J Hancock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512
Mrs. Richelle Lynn Humphrey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470
Susan Kirkwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 317 N English St, Leitchfield, KY 42754 Phone: 502-550-4164

Jared Crocker, CRNA - Medicare Nurse Anesthetist, Certified Registered in Leitchfield, KY