Dr Rebecca Elizabeth Crockett, DO - Medicare Obstetrics/gynecology in Willoughby, OH

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Dr Rebecca Elizabeth Crockett, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Willoughby, Ohio. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Lake Hospital System, Inc. and her current practice location is 5105 Som Center Road, Suite 201, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 602-6710.

Dr Rebecca Elizabeth Crockett is licensed to practice in Ohio (license number 34.009381) 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 1376702241.

Contact Information

Dr Rebecca Elizabeth Crockett, DO
5105 Som Center Road, Suite 201,
Willoughby, OH 44094
(440) 602-6710
(440) 269-8107

Map and Direction




Physician's Profile

Full NameDr Rebecca Elizabeth Crockett
GenderFemale
SpecialityObstetrics/gynecology
Experience20 Years
Location5105 Som Center Road, Willoughby, Ohio
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 Rebecca Elizabeth Crockett graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1376702241
  • Provider Enumeration Date: 06/05/2008
  • Last Update Date: 03/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597830638
  • Enrollment ID: I20080825000158

Medical Identifiers

Medical identifiers for Dr Rebecca Elizabeth Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376702241NPI-NPPES
2867858MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34.009381 (Ohio)Primary
207V00000XObstetrics & Gynecology 58.001481 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Hospital System, Inc.6002713922140

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 Rebecca Elizabeth Crockett allows following entities to bill medicare on her behalf.
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963
Entity NameMarion Area Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619230802
PECOS PAC ID: 1850549437
Enrollment ID: O20120925000053

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 Rebecca Elizabeth Crockett 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 Rebecca Elizabeth Crockett, DO
7590 Auburn Rd Ste 14,
Concord Twp, OH 44077-9176

Ph: (440) 354-1899		Dr Rebecca Elizabeth Crockett, DO
5105 Som Center Road, Suite 201,
Willoughby, OH 44094

Ph: (440) 602-6710

Reviews and Comments


Obstetrics & Gynecology Doctors in Willoughby, OH

Janie M Zart, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4610
Thomesha Marie Barton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4632
Liese K Vito, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4654
Cynthia R Boes, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4612
Dr. Shannon Charisse Gilham, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4632
Wendy J Clinger, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4176 State Route 306, Willoughby, OH 44094
Phone: 440-918-4630    Fax: 440-918-4610

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.