Mr Patrick Kenan Crosby, RPH is a medicare enrolled "Pharmacist" provider in Groveland, California. His current practice location is
18638 Main St, Groveland, California. You can reach out to his office (for appointments etc.) via phone at
(209) 962-5211.
Mr Patrick Kenan Crosby is licensed to practice in California (license number 42856) 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 1235341603.
Healthcare Provider's Profile
Full Name | Mr Patrick Kenan Crosby |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 18638 Main St, Groveland, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235341603
- Provider Enumeration Date: 05/05/2007
- Last Update Date: 04/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 4789878471
- Enrollment ID: I20120926000456
Medical Identifiers
Medical identifiers for Mr Patrick Kenan Crosby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235341603 | NPI | - | NPPES |
GM613A | Other | CA | PTAN FOR MASS IMMUNIZATION ROSTER BILLER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 42856 (California) | 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. Mr Patrick Kenan Crosby 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 |
Mr Patrick Kenan Crosby, RPH Po Box 809, Groveland, CA 95321-0809 Ph: (209) 962-5211 | Mr Patrick Kenan Crosby, RPH 18638 Main St, Groveland, CA 95321-9458 Ph: (209) 962-5211 |
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