Montaja Mcmullen-crockett, is a
Student In An Organized Health Care Education/training Program based in Rock Hill, South Carolina. Montaja Mcmullen-crockett is licensed to practice in * (Not Available) (license number ) and her current practice location is
764 Vale Ct, Rock Hill, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 579-5911.
NPI number for Montaja Mcmullen-crockett is 1386567287 and her current mailing address is 764 Vale Ct, Rock Hill, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386567287.
Provider's Profile
| Full Name | Montaja Mcmullen-crockett |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 764 Vale Ct, Rock Hill, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386567287
- Provider Enumeration Date: 07/30/2026
- Last Update Date: 07/30/2026
Medical Identifiers
Medical identifiers for Montaja Mcmullen-crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386567287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Montaja Mcmullen-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 Address | Practice Location Address |
|---|
Montaja Mcmullen-crockett,
764 Vale Ct,
Rock Hill, SC 29730-7815
Ph: Not Available | Montaja Mcmullen-crockett,
764 Vale Ct,
Rock Hill, SC 29730-7815
Ph: (803) 579-5911 |
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