Jacob Brendan Crouch, MD is a medicare enrolled "Internal Medicine" physician in Lawrenceburg, Kentucky. His current practice location is
1080 Glensboro Rd, Lawrenceburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 839-4091.
Jacob Brendan Crouch is licensed to practice in Kentucky (license number 61644) 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 1366167504.
Physician's Profile
| Full Name | Jacob Brendan Crouch |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1080 Glensboro Rd, Lawrenceburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366167504
- Provider Enumeration Date: 10/10/2022
- Last Update Date: 06/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254879711
- Enrollment ID: I20240814004329
Medical Identifiers
Medical identifiers for Jacob Brendan Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366167504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 61644 (Kentucky) | 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. Jacob Brendan Crouch 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 |
Jacob Brendan Crouch, MD 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 Ph: (502) 839-4091 | Jacob Brendan Crouch, MD 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 Ph: (502) 839-4091 |
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