Mrs Katherine Marie Crocker, PA-C in Jamaica Plain, MA

Mrs Katherine Marie Crocker, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jamaica Plain, Massachusetts. Her current practice location is 170 Morton Street, Jamaica Plain, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 971-3305.

Mrs Katherine Marie Crocker is licensed to practice in Massachusetts (license number PA4959) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386078137.

Contact Information

	Mrs Katherine Marie Crocker, PA-C
	170 Morton Street, Jamaica Plain, MA 02130
	(617) 971-3305
	(617) 971-3643

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Marie Crocker
Gender	Female
Speciality	Physician Assistant - Medical
Location	170 Morton Street, Jamaica Plain, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386078137
Provider Enumeration Date: 08/29/2013
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2264660299
Enrollment ID: I20160115001081

Medical Identifiers

Medical identifiers for Mrs Katherine Marie Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386078137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA4959 (Massachusetts)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

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. Mrs Katherine Marie 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
Mrs Katherine Marie Crocker, PA-C 170 Morton Street, Jamaica Plain, MA 02130 Ph: (617) 971-3305	Mrs Katherine Marie Crocker, PA-C 170 Morton Street, Jamaica Plain, MA 02130 Ph: (617) 971-3305

Reviews and Comments

Physician Assistant Nurses in Jamaica Plain, MA

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Michelle Helm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 578-364-5353
Nicole Dwyer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7132

Mrs Katherine Marie Crocker, PA-C - Medicare Physician Assistant in Jamaica Plain, MA