Charley Crockett, - Physician Assistant in Jacksboro, TN

Charley Crockett, is a Physician Assistant based in Jacksboro, Tennessee. Charley Crockett is licensed to practice in * (Not Available) (license number ) and her current practice location is 2702 Jacksboro Pike, Jacksboro, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 201-9937.

NPI number for Charley Crockett is 1376419960 and her current mailing address is 2702 Jacksboro Pike, Jacksboro, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376419960.

Contact Information

Charley Crockett,
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850
(423) 201-9937
Not Available

Map and Direction




Provider's Profile

Full NameCharley Crockett
GenderFemale
SpecialityPhysician Assistant
Location2702 Jacksboro Pike, Jacksboro, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376419960
  • Provider Enumeration Date: 10/13/2025
  • Last Update Date: 10/13/2025

Medical Identifiers

Medical identifiers for Charley Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376419960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Charley Crockett 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 AddressPractice Location Address
Charley Crockett,
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850

Ph: (423) 201-9937
Charley Crockett,
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850

Ph: (423) 201-9937

Reviews and Comments


Physician Assistant Nurses in Jacksboro, TN

Anthony Baird, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-567-4722    
Chelsea M Thacker, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Kali Renee Rutherford, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2707 Jacksboro Pike Ste 2, Jacksboro, TN 37757
Phone: 423-437-8576    
Hannah Vail Bunch, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Makenna Rae Doss, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2707 Jacksboro Pike Ste 1a, Jacksboro, TN 37757
Phone: 423-907-8186    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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