Erin Paige Kruckenberg, PA-C is a medicare enrolled "Physician Assistant" in Woodward, Oklahoma. She went to University Of Oklahoma College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is
916 19th St, Woodward, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 238-5734.
Erin Paige Kruckenberg is licensed to practice in Oklahoma (license number 2828) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538675624.
Provider's Profile
| Full Name | Erin Paige Kruckenberg |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 916 19th St, Woodward, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Erin Paige Kruckenberg attended and graduated from University Of Oklahoma College Of Medicine in 2017
NPI Data:
- NPI Number: 1538675624
- Provider Enumeration Date: 12/27/2017
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830459262
- Enrollment ID: I20180205000538
Medical Identifiers
Medical identifiers for Erin Paige Kruckenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538675624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2828 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oliver Street 5.01(a) Inc | 0042464125 | 149 |
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. Erin Paige Kruckenberg 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 |
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Erin Paige Kruckenberg, PA-C
729 Center St,
Alva, OK 73717-2107
Ph: (405) 229-6401 | Erin Paige Kruckenberg, PA-C
916 19th St,
Woodward, OK 73801-2334
Ph: (580) 238-5734 |
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