Dr Donald Edwin Crockett Jr, MD in Midland, TX

Dr Donald Edwin Crockett Jr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Midland, Texas. His current practice location is 2405 W Missouri Ave, Midland, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 697-1061.

Dr Donald Edwin Crockett Jr is licensed to practice in Texas (license number E6294) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497708291.

Contact Information

	Dr Donald Edwin Crockett Jr, MD
	2405 W Missouri Ave, Midland, TX 79701-6800
	(432) 697-1061
	(432) 697-7089

Map and Direction

Physician's Profile

Full Name	Dr Donald Edwin Crockett Jr
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	2405 W Missouri Ave, Midland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497708291
Provider Enumeration Date: 05/19/2006
Last Update Date: 04/15/2015

Medicare PECOS Information:

PECOS PAC ID: 8820182694
Enrollment ID: I20100805000907

Medical Identifiers

Medical identifiers for Dr Donald Edwin Crockett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497708291	NPI	-	NPPES
770001753	Other	TX	MEDICARE RAILROAD
111016100	Other		FIRSTCARE
84340G	Other	TX	BLUE CROSS
P081870J8	Medicaid	TX
000J3027	Medicaid	NM
81870J	Other	TX	MEDICARE PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	E6294 (Texas)	Secondary
2086S0129X	Surgery - Vascular Surgery	E6294 (Texas)	Primary
2086S0127X	Surgery - Trauma Surgery	E6294 (Texas)	Secondary

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 Donald Edwin Crockett Jr allows following entities to bill medicare on his behalf.

Entity Name	Midland Surgical Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356452668 PECOS PAC ID: 1759473044 Enrollment ID: O20070924000750

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 Donald Edwin Crockett 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 Donald Edwin Crockett Jr, MD 2405 W Missouri Ave, Midland, TX 79701-6800 Ph: (432) 697-1061	Dr Donald Edwin Crockett Jr, MD 2405 W Missouri Ave, Midland, TX 79701-6800 Ph: (432) 697-1061

Reviews and Comments

Surgery Doctors in Midland, TX

Dr. Parker Allen Bassett, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2405 W Missouri Ave, Midland, TX 79701 Phone: 432-697-1061 Fax: 432-697-7089
Priscilla Wilson, Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Tradewinds Blvd Ste B, Midland, TX 79706 Phone: 432-618-6772 Fax: 432-618-6775
Roger Belizaire, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2004 W Ohio Ave, Midland, TX 79701 Phone: 432-686-8724 Fax: 432-686-0601
Sriramamurthy Subbaraman, M.D., F.A.C.S Surgery Medicare: Not Enrolled in Medicare Practice Location: 4214 Andrews Hwy Ste 208, Midland, TX 79703 Phone: 432-689-3503 Fax: 432-689-3553
Guillermo Eduardo Brachetta, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2300 Michigan Ave, Suite #1, Midland, TX 79701 Phone: 432-687-0181 Fax: 432-687-1003
Camille Denise Blackledge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2405 W Missouri Ave, Midland, TX 79701 Phone: 432-697-1061 Fax: 432-697-7089

Dr Donald Edwin Crockett Jr, MD - Medicare Surgery in Midland, TX