Dr Kimberly Latashia Crenshaw, MD - Medicare Emergency Medicine in West Memphis, AR

  1. Home
  2. Family Medicine
  3. AR
  4. West Memphis
Dr Kimberly Latashia Crenshaw, MD is a medicare enrolled "Family Medicine" physician in West Memphis, Arkansas. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Concord Medical Group Pllc, Concord Medical Group Pllc, Angelina Emergency Medicine Associates Pa and her current practice location is 200 W Tyler Ave, West Memphis, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 735-1500.

Dr Kimberly Latashia Crenshaw is licensed to practice in Texas (license number Q6503) 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 1346483799.

Contact Information

Dr Kimberly Latashia Crenshaw, MD
200 W Tyler Ave,
West Memphis, AR 72301-4223
(870) 735-1500
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Latashia Crenshaw
GenderFemale
SpecialityEmergency Medicine
Experience16 Years
Location200 W Tyler Ave, West Memphis, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Latashia Crenshaw graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1346483799
  • Provider Enumeration Date: 04/15/2009
  • Last Update Date: 10/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820256845
  • Enrollment ID: I20120222000727

Medical Identifiers

Medical identifiers for Dr Kimberly Latashia Crenshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346483799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48078 (Tennessee)Secondary
207P00000XEmergency Medicine E-7288 (Arkansas)Secondary
207P00000XEmergency Medicine MD.204875 (Louisiana)Secondary
207Q00000XFamily Medicine Q6503 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Woodland Heights Medical CenterLufkin, TXHospital
Beauregard Memorial HospitalDeridder, LAHospital
Nacogdoches Medical CenterNacogdoches, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concord Medical Group Pllc0446296818158
Concord Medical Group Pllc0446296818158
Angelina Emergency Medicine Associates Pa539597356417

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 Kimberly Latashia Crenshaw allows following entities to bill medicare on her behalf.
Entity NameEunice Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104895689
PECOS PAC ID: 3476507849
Enrollment ID: O20050309000026
Entity NameEmergency Group Of St Landry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491320
PECOS PAC ID: 0749237212
Enrollment ID: O20050406000828
Entity NameProfessional Emergency Medicine Management -- Lake Charles Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023430766
PECOS PAC ID: 7012131378
Enrollment ID: O20140609000077
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20140930001176
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20191022002061

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 Kimberly Latashia Crenshaw 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 AddressPractice Location Address
Dr Kimberly Latashia Crenshaw, MD
Po Box 1104,
Collierville, TN 38027-1104

Ph: (985) 732-0058		Dr Kimberly Latashia Crenshaw, MD
200 W Tyler Ave,
West Memphis, AR 72301-4223

Ph: (870) 735-1500

Reviews and Comments


Family Medicine Doctors in West Memphis, AR

Dr. Trent Patterson Pierce, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 W Polk Ave, West Memphis, AR 72301
Phone: 870-735-0833    Fax: 870-735-6872
Dr. Robert T Shull Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Tyler Ave, West Memphis, AR 72301
Phone: 870-735-1500    
Dr. John Chin Wah, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 230 West Broadway, West Memphis, AR 72301
Phone: 870-735-8246    Fax: 870-735-0481
Stephen Scott Pirtle, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-735-3842    
Dr. Nedra Clem Jackson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-735-3842    Fax: 870-394-4872
Carol Harden Whitehorn, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-735-3842    
Dr. Donald William Edgerly, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 W Tyler Ave, West Memphis, AR 72301
Phone: 870-735-1500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.