Mrs Mindy Louise Crookham, NP - Medicare Nurse Practitioner in Palo Cedro, CA

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Mrs Mindy Louise Crookham, NP is a medicare enrolled "Nurse Practitioner - Family" in Palo Cedro, California. Her current practice location is 10622 Petunia Ln, Suite D, Palo Cedro, California. You can reach out to her office (for appointments etc.) via phone at (530) 549-4594.

Mrs Mindy Louise Crookham is licensed to practice in California (license number NP14207) 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 1467645382.

Contact Information

Mrs Mindy Louise Crookham, NP
10622 Petunia Ln, Suite D,
Palo Cedro, CA 96073-9776
(530) 549-4594
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mindy Louise Crookham
GenderFemale
SpecialityNurse Practitioner - Family
Location10622 Petunia Ln, Palo Cedro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467645382
  • Provider Enumeration Date: 08/23/2007
  • Last Update Date: 06/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3779673363
  • Enrollment ID: I20071219000695

Medical Identifiers

Medical identifiers for Mrs Mindy Louise Crookham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467645382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP14207 (California)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. Mrs Mindy Louise Crookham allows following entities to bill medicare on her behalf.
Entity NameCounty Of Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326252271
PECOS PAC ID: 2466495429
Enrollment ID: O20050609001101
Entity NameConsolidated Tribal Health Project, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003826009
PECOS PAC ID: 1456260736
Enrollment ID: O20050714000893
Entity NameCounty Of Modoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396858668
PECOS PAC ID: 5193987808
Enrollment ID: O20120425000476
Entity NameCounty Of Siskiyou
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780803239
PECOS PAC ID: 8224280706
Enrollment ID: O20121207000287

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 Mindy Louise Crookham 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 AddressPractice Location Address
Mrs Mindy Louise Crookham, NP
10622 Petunia Ln,
Palo Cedro, CA 96073-9776

Ph: (530) 549-4594		Mrs Mindy Louise Crookham, NP
10622 Petunia Ln, Suite D,
Palo Cedro, CA 96073-9776

Ph: (530) 549-4594

Reviews and Comments


Nurse Practitioner Nurses in Palo Cedro, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.