Thomas Richard Crutchfield, FNP-C - Medicare Nurse Practitioner in Ludowici, GA

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Thomas Richard Crutchfield, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ludowici, Georgia. His current practice location is 153 Cypress Creek Dr Ne, Ludowici, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 271-8678.

Thomas Richard Crutchfield is licensed to practice in Georgia (license number 254229) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306565460.

Contact Information

Thomas Richard Crutchfield, FNP-C
153 Cypress Creek Dr Ne,
Ludowici, GA 31316-3131
(912) 271-8678
Not Available

Map and Direction




Provider's Profile

Full NameThomas Richard Crutchfield
GenderMale
SpecialityNurse Practitioner - Family
Location153 Cypress Creek Dr Ne, Ludowici, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306565460
  • Provider Enumeration Date: 08/23/2022
  • Last Update Date: 08/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022487990
  • Enrollment ID: I20221215001877

Medical Identifiers

Medical identifiers for Thomas Richard Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306565460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 254229 (Georgia)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. Thomas Richard Crutchfield allows following entities to bill medicare on his behalf.
Entity NameHospital Authority Of Liberty County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326079260
PECOS PAC ID: 5799772190
Enrollment ID: O20040428000377
Entity NameSouthland Bainbridge Hospitalist Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356735336
PECOS PAC ID: 7214248335
Enrollment ID: O20150616002069
Entity NameSouthland Optim Jenkins Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265826242
PECOS PAC ID: 9537461538
Enrollment ID: O20160107002680
Entity NameSouthland Evans Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730697418
PECOS PAC ID: 0143575852
Enrollment ID: O20180621000703
Entity NameSouthland Evans Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467960146
PECOS PAC ID: 5799036182
Enrollment ID: O20180925000479

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. Thomas Richard Crutchfield 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
Thomas Richard Crutchfield, FNP-C
153 Cypress Creek Dr Ne,
Ludowici, GA 31316-3131

Ph: (912) 271-8678		Thomas Richard Crutchfield, FNP-C
153 Cypress Creek Dr Ne,
Ludowici, GA 31316-3131

Ph: (912) 271-8678

Reviews and Comments


Nurse Practitioner Nurses in Ludowici, GA

Melissa D Thomas, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316
Phone: 912-545-9398    Fax: 912-545-2747
Florence O Baggs, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 73 Coastal Manor Dr, Ludowici, GA 31316
Phone: 912-369-9313    Fax: 912-545-0043
Kayla Elise Mock, AGPCNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 Madison Ave Ne, Ludowici, GA 31316
Phone: 912-432-9954    
Holli Bailey Eason, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316
Phone: 912-545-9398    Fax: 912-545-2747

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.