Maximillian Scott Crockett, OD - Medicare Optometrist in Clarksville, TN

Maximillian Scott Crockett, OD is a medicare enrolled "Optometrist" provider in Clarksville, Tennessee. His current practice location is 2876 Wilma Rudolph Blvd, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 436-9175.

Maximillian Scott Crockett is licensed to practice in Colorado (license number OPT.0003630) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255930160.

Contact Information

Maximillian Scott Crockett, OD
2876 Wilma Rudolph Blvd,
Clarksville, TN 37040-5001
(931) 436-9175
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMaximillian Scott Crockett
GenderMale
Speciality
Experience Years
Location2876 Wilma Rudolph Blvd, Clarksville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maximillian Scott Crockett attended and graduated from in
  NPI Data:
  • NPI Number: 1255930160
  • Provider Enumeration Date: 10/21/2020
  • Last Update Date: 05/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Maximillian Scott Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255930160NPI-NPPES
3733OtherTNTN STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT.0003630 (Colorado)Primary

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. Maximillian Scott 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 AddressPractice Location Address
Maximillian Scott Crockett, OD
2876 Wilma Rudolph Blvd,
Clarksville, TN 37040-5001

Ph: (931) 436-9175
Maximillian Scott Crockett, OD
2876 Wilma Rudolph Blvd,
Clarksville, TN 37040-5001

Ph: (931) 436-9175

Reviews and Comments


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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.