Timika Roshaun Crockett, NP in Jackson, MS - Medicare Nurse Practitioner

Timika Roshaun Crockett, NP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mdb Behavioral Health Services Llc, Fast Pace Mississippi Pllc and her current practice location is 6501 Dogwood View Pkwy Ste A, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 899-3340.

Timika Roshaun Crockett is licensed to practice in Mississippi (license number 901859) 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 1891232757.

Contact Information

	Timika Roshaun Crockett, NP
	6501 Dogwood View Pkwy Ste A, Jackson, MS 39213-7857
	(601) 899-3340
	(601) 899-3343

Map and Direction

Provider's Profile

Full Name	Timika Roshaun Crockett
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	6501 Dogwood View Pkwy Ste A, Jackson, Mississippi
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:

Timika Roshaun Crockett graduated from nursing school in 2016

NPI Data:

NPI Number: 1891232757
Provider Enumeration Date: 01/30/2017
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1153667613
Enrollment ID: I20190104001353

Medical Identifiers

Medical identifiers for Timika Roshaun Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891232757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901859 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delta Regional Medical Center	Greenville, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mdb Behavioral Health Services Llc	0749572915	59
Fast Pace Mississippi Pllc	3678832029	142

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. Timika Roshaun Crockett allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Entity Name	Mdb Care Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144925272 PECOS PAC ID: 0547619512 Enrollment ID: O20231215002106

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. Timika Roshaun 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
Timika Roshaun Crockett, NP 108 Van Buren St, Belzoni, MS 39038-4031 Ph: (601) 750-5153	Timika Roshaun Crockett, NP 6501 Dogwood View Pkwy Ste A, Jackson, MS 39213-7857 Ph: (601) 899-3340

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Timika Roshaun Crockett, NP - Medicare Nurse Practitioner in Jackson, MS