Charles A Crumley, MD - Medicare General Surgery in Middlesboro, KY

Charles A Crumley, MD is a medicare enrolled "Surgery" physician in Middlesboro, Kentucky. He went to Wright State University Boonshoft School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Appalachian Regional Healthcare Inc. and his current practice location is 3004 Cumberland Ave, Middlesboro, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 248-4131.

Charles A Crumley is licensed to practice in North Carolina (license number 9900198) 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 1932147519.

Contact Information

Charles A Crumley, MD
3004 Cumberland Ave,
Middlesboro, KY 40965-2343
(606) 248-4131
(606) 248-4133

Map and Direction




Physician's Profile

Full NameCharles A Crumley
GenderMale
SpecialityGeneral Surgery
Experience31 Years
Location3004 Cumberland Ave, Middlesboro, Kentucky
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:
  • Charles A Crumley attended and graduated from Wright State University Boonshoft School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1932147519
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 10/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0547360836
  • Enrollment ID: I20070716000639

Medical Identifiers

Medical identifiers for Charles A Crumley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932147519NPI-NPPES
11906OtherNCBCBSNC
8911906MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 9900198 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesboro Arh HospitalMiddlesboro, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Appalachian Regional Healthcare Inc.0840107835232

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. Charles A Crumley allows following entities to bill medicare on his behalf.
Entity NameAppalachian Regional Healthcare Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528148012
PECOS PAC ID: 0840107835
Enrollment ID: O20031125000520

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. Charles A Crumley 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
Charles A Crumley, MD
3004 Cumberland Ave,
Middlesboro, KY 40965-2343

Ph: (606) 248-4131
Charles A Crumley, MD
3004 Cumberland Ave,
Middlesboro, KY 40965-2343

Ph: (606) 248-4131

Reviews and Comments


Surgery Doctors in Middlesboro, KY

Mr. Robert Lee Thomas Iv, MD
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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.