<unavail> in Crockett, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Crockett, Texas. The current practice location for is 107 S 4th St, Crockett, Texas. For appointments, you can reach them via phone at (936) 544-2275. The mailing address for is 107 S 4th St, Crockett, Texas and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952069932. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (936) 544-2275.

Contact Information


	107 S 4th St Crockett TX 75835-2024
	(936) 544-2275
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	107 S 4th St, Crockett, Texas
Authorized Official Name and Position	James Jeffrey Martin (DIRECTOR)
Authorized Official Contact	9365442275
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
107 S 4th St Crockett TX 75835-2024 Ph: () -	107 S 4th St Crockett TX 75835-2024 Ph: (936) 544-2275

NPI Details:

NPI Number	1952069932
Provider Enumeration Date	12/07/2021
Last Update Date	01/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3072905793
Medicare Enrollment ID	O20220110000299

Medical Identifiers

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

Identifier	Type	State	Issuer
1952069932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Laura Ellen Purdy
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210224002559

Provider Name	Joel Jones
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20210913001306

Reviews and Comments

Clinic/Center in Crockett, TX

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 E Loop 304 Ste 201, Crockett, TX 75835 Phone: 936-546-3890
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 E Loop 304, Suite 200, Crockett, TX 75835 Phone: 936-544-5132
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Grace St, Crockett, TX 75835 Phone: 936-544-7202 Fax: 936-546-2029
Crockett Clinic Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 E Loop 304, Crockett, TX 75835 Phone: 936-544-2157 Fax: 936-544-5572
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 E Loop 304, Crockett, TX 75835 Phone: 936-546-3890
D&c Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Loop 3048 East, Suite 200, Crockett, TX 75835 Phone: 903-723-7178 Fax: 903-723-8252
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 E Loop 304, Crockett, TX 75835 Phone: 936-655-0500

- Medicare Primary Care in Crockett, TX