Dr Edmund W Creekmore Jr, PHD in Martinsville, VA - Medicare Clinical Psychologist Provider

Dr Edmund W Creekmore Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Martinsville, Virginia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Supportive Care Of Virginia Llc, Virginia South Psychiatric And Family Services and his current practice location is 1079 Spruce St, Martinsville, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 304-4393.

Dr Edmund W Creekmore Jr is licensed to practice in Virginia (license number 0810001875) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1861441511.

Contact Information

	Dr Edmund W Creekmore Jr, PHD
	1079 Spruce St, Martinsville, VA 24112-4527
	(804) 304-4393
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edmund W Creekmore Jr
Gender	Male
Speciality	Clinical Psychologist
Experience	38 Years
Location	1079 Spruce St, Martinsville, Virginia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edmund W Creekmore Jr graduated from medical school in 1986

NPI Data:

NPI Number: 1861441511
Provider Enumeration Date: 05/09/2006
Last Update Date: 07/30/2008

Medicare PECOS Information:

PECOS PAC ID: 9830285832
Enrollment ID: I20071023000165

Medical Identifiers

Medical identifiers for Dr Edmund W Creekmore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861441511	NPI	-	NPPES
7747829	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810001875 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Supportive Care Of Virginia Llc	2961816731	14
Virginia South Psychiatric And Family Services	3476443797	34

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. Dr Edmund W Creekmore Jr allows following entities to bill medicare on his behalf.

Entity Name	Virginia South Psychiatric & Family Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700894466 PECOS PAC ID: 3476443797 Enrollment ID: O20040318001272

Entity Name	Supportive Care Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520

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. Dr Edmund W Creekmore Jr 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
Dr Edmund W Creekmore Jr, PHD Po Box 5361, 1079 Spruce St, Martinsville, VA 24115-5361 Ph: (804) 304-4393	Dr Edmund W Creekmore Jr, PHD 1079 Spruce St, Martinsville, VA 24112-4527 Ph: (804) 304-4393

Reviews and Comments

Psychologist in Martinsville, VA

Jo L Mcclain, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1079 Spruce St, Martinsville, VA 24112 Phone: 276-666-5952 Fax: 276-638-5287
Mr. Joseph I. Leizer, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1079 Spruce St, Martinsville, VA 24112 Phone: 276-632-3572 Fax: 276-638-5287
Lawrence David Parker, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Trott Cir, Martinsville, VA 24112 Phone: 276-634-4700
Dr. Alice F Farmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 E Main St, Martinsville, VA 24112 Phone: 276-224-6328
Howard S Leizer, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1079 Spruce St, Martinsville, VA 24112 Phone: 276-638-6096 Fax: 276-638-5287
Dr. Travis G Worrell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 351 Commonwealth Blvd E, Martinsville, VA 24112 Phone: 276-403-5779

Dr Edmund W Creekmore Jr, PHD - Medicare Psychologist in Martinsville, VA