Clay Justin Crockett, PMHNP-BC | |
1820 N 202nd Ave, Buckeye, AZ 85396-8712 | |
(602) 820-3201 | |
Not Available |
Full Name | Clay Justin Crockett |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1820 N 202nd Ave, Buckeye, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164120150 | NPI | - | NPPES |
138626 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN197246 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 294847 (Arizona) | Primary |
Entity Name | Neighborhood Outreach Access To Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504 |
Mailing Address | Practice Location Address |
---|---|
Clay Justin Crockett, PMHNP-BC 1820 N 202nd Ave, Buckeye, AZ 85396-8712 Ph: (602) 820-3201 | Clay Justin Crockett, PMHNP-BC 1820 N 202nd Ave, Buckeye, AZ 85396-8712 Ph: (602) 820-3201 |
Carmela Marfori Fernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 S Watson Rd Ste 200, Buckeye, AZ 85326 Phone: 623-385-7900 | |
Allison Stuart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20460 W Legend Trl, Buckeye, AZ 85396 Phone: 928-504-4700 | |
Dr. Susan Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26700 S Us Highway 85, Buckeye, AZ 85326 Phone: 623-386-6160 | |
Maria Lourdes Arndt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26721 W Mohawk Ln, Buckeye, AZ 85396 Phone: 928-533-9698 | |
Esther Wambura Burns, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20751 W Market St, Buckeye, AZ 85396 Phone: 623-463-5000 | |
Elizabeth Vidales, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 E Monroe Ave, Buckeye, AZ 85326 Phone: 877-809-5092 | |
Ms. Eva Socorro Mijares, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 E Mc 85, Buckeye, AZ 85326 Phone: 602-363-3438 Fax: 602-584-3677 |