Korah Crockett, LVN is a
Licensed Vocational Nurse based in Malakoff, Texas. Korah Crockett is licensed to practice in Texas (license number 345233) and her current practice location is
3801 State Highway 198 Apt 127, Malakoff, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 519-4663.
NPI number for Korah Crockett is 1114401247 and her current mailing address is 3801 State Highway 198 Apt 127, Malakoff, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114401247.
Provider's Profile
| Full Name | Korah Crockett |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 3801 State Highway 198 Apt 127, Malakoff, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114401247
- Provider Enumeration Date: 09/25/2018
- Last Update Date: 09/25/2018
Medical Identifiers
Medical identifiers for Korah Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114401247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 345233 (Texas) | 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. Korah Crockett 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 |
|---|
Korah Crockett, LVN
3801 State Highway 198 Apt 127,
Malakoff, TX 75148-4988
Ph: (903) 519-4663 | Korah Crockett, LVN
3801 State Highway 198 Apt 127,
Malakoff, TX 75148-4988
Ph: (903) 519-4663 |
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