Mr Douglas Alan Crutchfield, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Eufaula, Oklahoma. His current practice location is
Rr 5 Box 114, Eufaula, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 339-4122.
Mr Douglas Alan Crutchfield is licensed to practice in Oklahoma (license number 29347) 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 1003995176.
Provider's Profile
| Full Name | Mr Douglas Alan Crutchfield |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | Rr 5 Box 114, Eufaula, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003995176
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 1254461775
- Enrollment ID: I20100610000219
Medical Identifiers
Medical identifiers for Mr Douglas Alan Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003995176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 29347 (Oklahoma) | 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. Mr Douglas Alan Crutchfield allows following entities to bill medicare on his behalf.
| Entity Name | Digestive Disease Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366489213 PECOS PAC ID: 7315939279 Enrollment ID: O20040331001151 |
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| Entity Name | Anesthesia Associates Of Oklahoma Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
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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. Mr Douglas Alan Crutchfield 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 |
Mr Douglas Alan Crutchfield, CRNA Rr 5 Box 114, Eufaula, OK 74432-9501 Ph: (918) 339-4122 | Mr Douglas Alan Crutchfield, CRNA Rr 5 Box 114, Eufaula, OK 74432-9501 Ph: (918) 339-4122 |
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