Punyacha Chuanchom Crocker, NP in Ann Arbor, MI

Punyacha Chuanchom Crocker, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Ann Arbor, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 1500 East Medical Center Drive, B1 Floor Taubman Center Recp Mos Room 126, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 232-2867.

Punyacha Chuanchom Crocker is licensed to practice in Michigan (license number 4704278307) 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 1801294020.

Contact Information

	Punyacha Chuanchom Crocker, NP
	1500 East Medical Center Drive, B1 Floor Taubman Center Recp Mos Room 126, Ann Arbor, MI 48109-5317
	(734) 232-2867
	Not Available

Map and Direction

Provider's Profile

Full Name	Punyacha Chuanchom Crocker
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1500 East Medical Center Drive, Ann Arbor, Michigan
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:

Punyacha Chuanchom Crocker graduated from nursing school in 2014

NPI Data:

NPI Number: 1801294020
Provider Enumeration Date: 12/22/2014
Last Update Date: 11/28/2016

Medicare PECOS Information:

PECOS PAC ID: 1951627298
Enrollment ID: I20150305000064

Medical Identifiers

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

Identifier	Type	State	Issuer
1801294020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704278307 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Michigan Health System	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of Michigan	3779496856	2916

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. Punyacha Chuanchom Crocker allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447275102 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000371

Entity Name	Fadi Salloum Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053510446 PECOS PAC ID: 2062503584 Enrollment ID: O20070813000088

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. Punyacha Chuanchom 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
Punyacha Chuanchom Crocker, NP 3621 South State Street, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Punyacha Chuanchom Crocker, NP 1500 East Medical Center Drive, B1 Floor Taubman Center Recp Mos Room 126, Ann Arbor, MI 48109-5317 Ph: (734) 232-2867

Reviews and Comments

Nurse Practitioner Nurses in Ann Arbor, MI

Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082

Punyacha Chuanchom Crocker, NP - Medicare Nurse Practitioner in Ann Arbor, MI