Crestus William Roser, - Medicare Physician Assistant in Savannah, TN

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Crestus William Roser, is a medicare enrolled "Physician Assistant" in Savannah, Tennessee. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice 45 Urgent Care Pc, Emergency Coverage Llc and his current practice location is 760 Airways Blvd, Savannah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 607-5157.

Crestus William Roser is licensed to practice in Tennessee (license number 6112) 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 1639810641.

Contact Information

Crestus William Roser,
760 Airways Blvd,
Savannah, TN 38372-3274
(731) 607-5157
Not Available

Map and Direction




Provider's Profile

Full NameCrestus William Roser
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location760 Airways Blvd, Savannah, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crestus William Roser graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1639810641
  • Provider Enumeration Date: 04/05/2022
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901333012
  • Enrollment ID: I20241231000481

Medical Identifiers

Medical identifiers for Crestus William Roser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639810641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6112 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
45 Urgent Care Pc86282996176
Emergency Coverage Llc3072412592761

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. Crestus William Roser allows following entities to bill medicare on his behalf.
Entity NameEmergency Coverage LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameEmergency Medical Care Facilities PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565
Entity Name45 Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912326539
PECOS PAC ID: 8628299617
Enrollment ID: O20141015002196

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. Crestus William Roser 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 AddressPractice Location Address
Crestus William Roser,
760 Airways Blvd,
Savannah, TN 38372-3274

Ph: (731) 607-5157		Crestus William Roser,
760 Airways Blvd,
Savannah, TN 38372-3274

Ph: (731) 607-5157

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.