Dr Max Jay Crouch, MD is a
Obstetrics & Gynecology - Obstetrics physician based in Payson, Utah. Dr Max Jay Crouch is licensed to practice in Utah (license number 181049-1205) and his current practice location is 97 S. Professional Way, Payson, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 465-4896.
NPI number for Dr Max Jay Crouch is 1861569261 and his current mailing address is 1055 N 500 W, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861569261.
Physician's Profile
| Full Name | Dr Max Jay Crouch |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Obstetrics |
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| Location | 97 S. Professional Way, Payson, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861569261
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 12/22/2011
Medical Identifiers
Medical identifiers for Dr Max Jay Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861569261 | NPI | - | NPPES |
| 181049-1205 | Other | UT | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 181049-1205 (Utah) | Primary |
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 Max Jay Crouch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Max Jay Crouch, MD
1055 N 500 W,
Provo, UT 84604-3305
Ph: (801) 465-4896 | Dr Max Jay Crouch, MD
97 S. Professional Way,
Payson, UT 84651
Ph: (801) 465-4896 |
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