Brenna Catherine Crockwell, AUD is a medicare enrolled "Audiologist" provider in Southbury, Connecticut. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Southbury Audiology Llc and her current practice location is
2 Pomperaug Office Park Ste 307, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 264-8201.
Brenna Catherine Crockwell is licensed to practice in Connecticut (license number 776) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598501918.
Healthcare Provider's Profile
| Full Name | Brenna Catherine Crockwell |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 2 Years |
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| Location | 2 Pomperaug Office Park Ste 307, Southbury, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brenna Catherine Crockwell graduated from medical school in 2024
NPI Data:
- NPI Number: 1598501918
- Provider Enumeration Date: 07/04/2024
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183162944
- Enrollment ID: I20240813000058
Medical Identifiers
Medical identifiers for Brenna Catherine Crockwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598501918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 776 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southbury Audiology Llc | 9931419348 | 3 |
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. Brenna Catherine Crockwell allows following entities to bill medicare on her behalf.
| Provider Name | Southbury Audiology Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932575610 PECOS PAC ID: 9931419348 Enrollment ID: O20151113000964 |
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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. Brenna Catherine Crockwell 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 |
Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 | Brenna Catherine Crockwell, AUD 2 Pomperaug Office Park Ste 307, Southbury, CT 06488-2293 Ph: (203) 264-8201 |
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