James Roy Crouch Jr, MD is a medicare enrolled "Hospitalist" physician in Russellville, Arkansas. His current practice location is
1808 W Main St, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 964-4178.
James Roy Crouch Jr is licensed to practice in Arkansas (license number C-7680) 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 1437115508.
Physician's Profile
| Full Name | James Roy Crouch Jr |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 1808 W Main St, Russellville, Arkansas |
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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: 1437115508
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587659727
- Enrollment ID: I20040417000284
Medical Identifiers
Medical identifiers for James Roy Crouch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437115508 | NPI | - | NPPES |
| 121448001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | C-7680 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | C-7680 (Arkansas) | 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. James Roy Crouch Jr allows following entities to bill medicare on his behalf.
| Entity Name | St Marys Physician Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
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| Entity Name | Mercy Clinic Fort Smith Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
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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. James Roy Crouch Jr 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 |
James Roy Crouch Jr, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | James Roy Crouch Jr, MD 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 964-4178 |
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