Jack Byron Crider, MD in Pikeville, KY

Jack Byron Crider, MD is a medicare enrolled "Pediatrics" physician in Pikeville, Kentucky. His current practice location is 387 Town Mountain Rd, Ste 202, Pikeville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 437-1008.

Jack Byron Crider is licensed to practice in Kentucky (license number 35982) 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 1437145091.

Contact Information

	Jack Byron Crider, MD
	387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640
	(606) 437-1008
	(606) 437-5040

Map and Direction

Physician's Profile

Full Name	Jack Byron Crider
Gender	Male
Speciality	Pediatrics
Location	387 Town Mountain Rd, Pikeville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437145091
Provider Enumeration Date: 09/20/2005
Last Update Date: 06/12/2013

Medicare PECOS Information:

PECOS PAC ID: 3678701141
Enrollment ID: I20140107000809

Medical Identifiers

Medical identifiers for Jack Byron Crider such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437145091	NPI	-	NPPES
64031610	Medicaid	KY
1812140000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35982 (Kentucky)	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. Jack Byron Crider allows following entities to bill medicare on his behalf.

Entity Name	Spero Health Of Kentucky, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823

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. Jack Byron Crider 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
Jack Byron Crider, MD 387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640 Ph: (606) 437-1008	Jack Byron Crider, MD 387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640 Ph: (606) 437-1008

Reviews and Comments

Pediatrics Doctors in Pikeville, KY

M Zuhdi Alimam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 156 Island Creek Rd, Pediatric Associates, Pikeville, KY 41501 Phone: 606-432-3221 Fax: 606-437-0438
Alexander M Saurer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Adams Ln Ste 300, Pikeville, KY 41501 Phone: 606-230-2255 Fax: 606-437-3001
Stan Michael Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 238 Cassidy Blvd, Pikeville, KY 41501 Phone: 606-430-2230 Fax: 606-437-2526
Shylah Napier, Pediatrics Medicare: Medicare Enrolled Practice Location: 238 Cassidy Blvd, Pikeville, KY 41501 Phone: 606-430-3500
Zonia G Barbosa Caceres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-218-4697
Jyothi Mettu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 387 Town Mountain Rd, Ste 108, Pikeville, KY 41501 Phone: 606-437-4925 Fax: 606-437-4930
Dr. Matthew Todd Hambleton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500

Jack Byron Crider, MD - Medicare Pediatrics in Pikeville, KY