Jared Crocker, CRNA - Medicare Nurse Anesthetist, Certified Registered in Leitchfield, KY

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Jared Crocker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Leitchfield, Kentucky. His current practice location is 910 Wallace Ave, Leitchfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 274-0480.

Jared Crocker is licensed to practice in Kentucky (license number 3013154) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114442324.

Contact Information

Jared Crocker, CRNA
910 Wallace Ave,
Leitchfield, KY 42754-2414
(270) 274-0480
Not Available

Map and Direction




Provider's Profile

Full NameJared Crocker
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location910 Wallace Ave, Leitchfield, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114442324
  • Provider Enumeration Date: 08/08/2017
  • Last Update Date: 02/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284974726
  • Enrollment ID: I20190320002596

Medical Identifiers

Medical identifiers for Jared Crocker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114442324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3013154 (Kentucky)Primary

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. Jared Crocker allows following entities to bill medicare on his behalf.
Entity NameConoloway Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144965955
PECOS PAC ID: 9133590201
Enrollment ID: O20230127001890

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. Jared Crocker 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
Jared Crocker, CRNA
119 John Austin Ln,
Mt Washington, KY 40047-6349

Ph: () -		Jared Crocker, CRNA
910 Wallace Ave,
Leitchfield, KY 42754-2414

Ph: (270) 274-0480

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Leitchfield, KY

John Anthony Lyons, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    
Rodney D Mann, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9512    
Mrs. Merry Lynn Green, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    Fax: 270-259-1662
Callie J Hancock,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9512    
Mrs. Richelle Lynn Humphrey,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    
Susan Kirkwood, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 317 N English St, Leitchfield, KY 42754
Phone: 502-550-4164    

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.