Davy Crockett Drug Clinical Services - Medicare Primary Care in Crockett, TX

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

Davy Crockett Drug Clinical Services 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

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

Map and Direction


Primary Care Clinic Profile

Full NameDavy Crockett Drug Clinical Services
SpecialityClinic/Center
Location107 S 4th St, Crockett, Texas
Authorized Official Name and PositionJames Jeffrey Martin (DIRECTOR)
Authorized Official Contact9365442275
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davy Crockett Drug Clinical Services
107 S 4th St
Crockett
TX 75835-2024

Ph: () -
Davy Crockett Drug Clinical Services
107 S 4th St
Crockett
TX 75835-2024

Ph: (936) 544-2275

NPI Details:

NPI Number1952069932
Provider Enumeration Date12/07/2021
Last Update Date01/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3072905793
Medicare Enrollment IDO20220110000299

Medical Identifiers

Medical identifiers for Davy Crockett Drug Clinical Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952069932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
261QU0200XClinic/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. Davy Crockett Drug Clinical Services acts as a billing entity for following providers:
Provider NameLaura Purdy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093058463
PECOS PAC ID: 9133556624
Enrollment ID: I20210224002559
Provider NameJoel Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194783472
PECOS PAC ID: 7517943327
Enrollment ID: I20210913001306

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.