Jeremy Michael Crouch, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Vandalia, Ohio. He went to University Of Washington School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Premier Health Specialists Inc and his current practice location is
900 S Dixie Dr, Ste 40, Vandalia, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 890-6644.
Jeremy Michael Crouch is licensed to practice in Ohio (license number 35.095689) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336361351.
Physician's Profile
| Full Name | Jeremy Michael Crouch |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 20 Years |
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| Location | 900 S Dixie Dr, Vandalia, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeremy Michael Crouch attended and graduated from University Of Washington School Of Medicine in 2006
NPI Data:
- NPI Number: 1336361351
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 11/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 4981737541
- Enrollment ID: I20100803000395
Medical Identifiers
Medical identifiers for Jeremy Michael Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336361351 | NPI | - | NPPES |
| 3068013 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35.095689 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Health Specialists Inc | 5597708594 | 471 |
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. Jeremy Michael Crouch allows following entities to bill medicare on his behalf.
| Entity Name | Premier Health Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010 |
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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. Jeremy Michael 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 |
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Jeremy Michael Crouch, MD
900 S Dixie Dr, Ste 40,
Vandalia, OH 45377-2657
Ph: (937) 890-6644 | Jeremy Michael Crouch, MD
900 S Dixie Dr, Ste 40,
Vandalia, OH 45377-2657
Ph: (937) 890-6644 |
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