Scott Wesley Cranick, PA-C is a medicare enrolled "Physician Assistant" physician in Herrin, Illinois. His current practice location is
201 S 14th St, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 942-2171.
Scott Wesley Cranick is licensed to practice in Illinois (license number 085-002739) 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 1902992050.
Physician's Profile
| Full Name | Scott Wesley Cranick |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 201 S 14th St, Herrin, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902992050
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 11/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709981038
- Enrollment ID: I20090220000346
Medical Identifiers
Medical identifiers for Scott Wesley Cranick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902992050 | NPI | - | NPPES |
| 214881 | Other | IL | MEDICARE OSCAR |
| 3932056 | Other | IL | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 085-002739 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | PA9103859 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-00923 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 085-002739 (Illinois) | 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. Scott Wesley Cranick 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 |
|---|
Scott Wesley Cranick, PA-C
Po Box 3988,
Carbondale, IL 62902-3988
Ph: (800) 457-5200 | Scott Wesley Cranick, PA-C
201 S 14th St,
Herrin, IL 62948-3631
Ph: (618) 942-2171 |
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