Dr Deidre Denise Crocker, MD is a medicare enrolled "Allergy & Immunology" physician in Conyers, Georgia. She went to University Of Kentucky College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice The Allergy And Asthma Center, Llc and her current practice location is
2390 Wall St Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 922-5696.
Dr Deidre Denise Crocker is licensed to practice in Georgia (license number 056811) 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 1790947117.
Physician's Profile
| Full Name | Dr Deidre Denise Crocker |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 22 Years |
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| Location | 2390 Wall St Se, Conyers, Georgia |
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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. |
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Medical Education and Training:
- Dr Deidre Denise Crocker attended and graduated from University Of Kentucky College Of Medicine in 2002
NPI Data:
- NPI Number: 1790947117
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 8820266448
- Enrollment ID: I20110726000032
Medical Identifiers
Medical identifiers for Dr Deidre Denise Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790947117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 056811 (Georgia) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 056811 (Georgia) | Secondary |
| 207K00000X | Allergy & Immunology | 056811 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Allergy And Asthma Center, Llc | 9133113111 | 6 |
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 Deidre Denise Crocker allows following entities to bill medicare on her behalf.
| Entity Name | The Allergy & Asthma Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467671305
PECOS PAC ID: 9133113111
Enrollment ID: O20040413000313 |
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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. Dr Deidre Denise Crocker 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 |
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Dr Deidre Denise Crocker, MD
2390 Wall St Se,
Conyers, GA 30013-2150
Ph: (770) 922-5696 | Dr Deidre Denise Crocker, MD
2390 Wall St Se,
Conyers, GA 30013-2150
Ph: (770) 922-5696 |
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