Mr Kenneth Adams Crockett Jr, PA-C - Physician Assistant in Petoskey, MI

Mr Kenneth Adams Crockett Jr, PA-C is a Physician Assistant - Medical based in Petoskey, Michigan. Mr Kenneth Adams Crockett Jr is licensed to practice in Michigan (license number 5601001028) and his current practice location is 1890 S Us Highway 131, Suite 4, Petoskey, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 487-2000.

NPI number for Mr Kenneth Adams Crockett Jr is 1053338830 and his current mailing address is 1890 S Us Highway 131, Suite 4, Petoskey, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053338830.

Contact Information

Mr Kenneth Adams Crockett Jr, PA-C
1890 S Us Highway 131, Suite 4,
Petoskey, MI 49770-8344
(231) 487-2000
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth Adams Crockett Jr
GenderMale
SpecialityPhysician Assistant - Medical
Location1890 S Us Highway 131, Petoskey, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053338830
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 04/18/2008

Medical Identifiers

Medical identifiers for Mr Kenneth Adams Crockett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053338830NPI-NPPES
KC001028OtherMISTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601001028 (Michigan)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. Mr Kenneth Adams Crockett Jr 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 AddressPractice Location Address
Mr Kenneth Adams Crockett Jr, PA-C
1890 S Us Highway 131, Suite 4,
Petoskey, MI 49770-8344

Ph: (231) 487-2000
Mr Kenneth Adams Crockett Jr, PA-C
1890 S Us Highway 131, Suite 4,
Petoskey, MI 49770-8344

Ph: (231) 487-2000

Reviews and Comments


Physician Assistant Nurses in Petoskey, MI

Ms. Sarah Dawn Elkins, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770
Phone: 231-242-1760    Fax: 978-367-5563
Sarah Wadowski, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1890 Us Highway 131, Petoskey, MI 49770
Phone: 231-487-6000    Fax: 231-487-6014
Danielle Nicole Cook, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 W Mitchell St Ste 505, Petoskey, MI 49770
Phone: 231-487-2100    Fax: 231-487-1909
Mr. James P Prokos, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 515 W Jefferson St, Petoskey, MI 49770
Phone: 231-348-5622    Fax: 231-348-5625
Kathy Tuinhoff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770
Phone: 231-487-2490    
Carianne Jeffers-wcisel, P.A.C.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Lears Rd, Petoskey, MI 49770
Phone: 231-242-1700    Fax: 231-242-1717

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.