Dr Jacob Emerson Crothers, MD in Portland, ME - Medicare Preventive Medicine

Dr Jacob Emerson Crothers, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Portland, Maine. His current practice location is 222 Saint John St Ste 322, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 560-3422.

Dr Jacob Emerson Crothers is licensed to practice in Maine (license number MD20886) 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 1336433085.

Contact Information

	Dr Jacob Emerson Crothers, MD
	222 Saint John St Ste 322, Portland, ME 04102-3059
	(207) 560-3422
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jacob Emerson Crothers
Gender	Male
Speciality	Preventive Medicine - Addiction Medicine
Location	222 Saint John St Ste 322, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336433085
Provider Enumeration Date: 05/30/2011
Last Update Date: 01/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0244459527
Enrollment ID: I20170908001840

Medical Identifiers

Medical identifiers for Dr Jacob Emerson Crothers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336433085	NPI	-	NPPES
D400163444	Other	CT	MEDICARE FOR CROTHERS
008052299	Other	CT	MEDICAID FOR CROTHERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	052724 (Connecticut)	Secondary
207QA0401X	Family Medicine - Addiction Medicine	052724 (Connecticut)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	MD20886 (Maine)	Primary

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 Jacob Emerson Crothers allows following entities to bill medicare on his behalf.

Entity Name	Recover Together Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201124000455

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 Jacob Emerson Crothers 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 Jacob Emerson Crothers, MD 222 Saint John St Ste 322, Portland, ME 04102-3059 Ph: (207) 560-3422	Dr Jacob Emerson Crothers, MD 222 Saint John St Ste 322, Portland, ME 04102-3059 Ph: (207) 560-3422

Reviews and Comments

Preventive Medicine Doctors in Portland, ME

Dr. Andrea Truncali, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Preble St, Portland, ME 04101 Phone: 207-874-2141 Fax: 207-874-2164
Dr. Susan B. Upham, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 323 Marginal Way, Portland, ME 04101 Phone: 207-780-6631 Fax: 207-780-6320
Deborah S. Rojas, RN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 54 Saint John St, Portland, ME 04102 Phone: 123-456-7890
Richard J Maguire, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Congress St, Portland, ME 04102 Phone: 207-774-7751 Fax: 207-828-5140
Dr. David W Dickison, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-4011 Fax: 207-662-6392
Alan Norton Weiner, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Milk St, Portland, ME 04101 Phone: 207-828-8080 Fax: 207-828-6816
Sylvia Park, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 53 Baxter Blvd Ste 3, Portland, ME 04101 Phone: 207-613-4115

Dr Jacob Emerson Crothers, MD - Medicare Preventive Medicine in Portland, ME