Stefanie Gayle Crockett, MSN, RN, FNP-BC in Amarillo, TX

Stefanie Gayle Crockett, MSN, RN, FNP-BC is a medicare enrolled "Registered Nurse" in Amarillo, Texas. Her current practice location is 1301 S Coulter St Ste 300, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 355-6330.

Stefanie Gayle Crockett is licensed to practice in Texas (license number 730571) 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 1558650515.

Contact Information

	Stefanie Gayle Crockett, MSN, RN, FNP-BC
	1301 S Coulter St Ste 300, Amarillo, TX 79106-1766
	(806) 355-6330
	(806) 351-0950

Map and Direction

Provider's Profile

Full Name	Stefanie Gayle Crockett
Gender	Female
Speciality	Registered Nurse
Location	1301 S Coulter St Ste 300, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558650515
Provider Enumeration Date: 03/30/2011
Last Update Date: 04/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9931564101
Enrollment ID: I20230424002065

Medical Identifiers

Medical identifiers for Stefanie Gayle Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558650515	NPI	-	NPPES
730571	Other	TX	NURSE PRACTITIONER-FAMILY NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP120155 (Texas)	Secondary
163W00000X	Registered Nurse	730571 (Texas)	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. Stefanie Gayle Crockett allows following entities to bill medicare on her behalf.

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Stefanie Gayle Crockett 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
Stefanie Gayle Crockett, MSN, RN, FNP-BC 1301 S Coulter St Ste 300, Amarillo, TX 79106-1766 Ph: (806) 355-6330	Stefanie Gayle Crockett, MSN, RN, FNP-BC 1301 S Coulter St Ste 300, Amarillo, TX 79106-1766 Ph: (806) 355-6330

Reviews and Comments

Registered Nurse Nurses in Amarillo, TX

Christine Reni Brewer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6700 W 9th Ave, Amarillo, TX 79106 Phone: 806-358-0251 Fax: 806-356-5590
Mrs. Tiffany Shea Thompson, RNC, NNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9180 Fax: 806-354-5536
Elisha B Leathers, RN, MSN, CFNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 Fax: 806-468-1829
Kathleen Lee, CPNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9800 Fax: 806-354-5689
Brent Talley, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 7813 Pebblebrook Dr, Amarillo, TX 79119 Phone: 806-681-2561
Laura A Wagner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6700 W 9th Ave, Amarillo, TX 79106 Phone: 806-358-0251 Fax: 806-356-5590
Mrs. Rachel Elizabeth Despain, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5900 Plum Creek Dr Apt 836, Amarillo, TX 79124 Phone: 806-316-2781

Stefanie Gayle Crockett, MSN, RN, FNP-BC - Medicare Registered Nurse in Amarillo, TX