Dr David Shan Crockett, MD is a
Psychiatry & Neurology - Geriatric Psychiatry physician based in Hollister, California. Dr David Shan Crockett is licensed to practice in California (license number G21002) and his current practice location is 911 Sunset Dr, Hollister, California. He can be reached at his office (for appointments etc.) via phone at
(831) 637-5771.
NPI number for Dr David Shan Crockett is 1376605535 and his current mailing address is 1745 San Felipe Rd Ste 1, Hollister, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376605535.
Physician's Profile
| Full Name | Dr David Shan Crockett |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
|---|
| Location | 911 Sunset Dr, Hollister, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376605535
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr David Shan Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376605535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | G21002 (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. Dr David Shan Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Shan Crockett, MD
1745 San Felipe Rd Ste 1,
Hollister, CA 95023-2540
Ph: (831) 636-1884 | Dr David Shan Crockett, MD
911 Sunset Dr,
Hollister, CA 95023-5602
Ph: (831) 637-5771 |
Reviews and Comments