Charles Crocker, NP is a
Nurse Practitioner - Family based in Colonial Beach, Virginia. Charles Crocker is licensed to practice in Virginia (license number 0024180587) and his current practice location is
5 Irving Ave, Colonial Beach, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 224-0571.
NPI number for Charles Crocker is 1043095276 and his current mailing address is Po Box 275, Colonial Beach, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043095276.
Provider's Profile
| Full Name | Charles Crocker |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 5 Irving Ave, Colonial Beach, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043095276
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medical Identifiers
Medical identifiers for Charles Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043095276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 0024180587 (Virginia) | 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. Charles Crocker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Crocker, NP
Po Box 275,
Colonial Beach, VA 22443-0275
Ph: () - | Charles Crocker, NP
5 Irving Ave,
Colonial Beach, VA 22443-2411
Ph: (804) 224-0571 |
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