Chad Crockett, DPT is a medicare enrolled "Physical Therapist" provider in Firebaugh, California. His current practice location is
2145 E Cardella St, Firebaugh, California. You can reach out to his office (for appointments etc.) via phone at
(559) 696-3510.
Chad Crockett is licensed to practice in * (Not Available) (license number ) 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 1538557715.
Healthcare Provider's Profile
| Full Name | Chad Crockett |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2145 E Cardella St, Firebaugh, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538557715
- Provider Enumeration Date: 12/23/2014
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991016495
- Enrollment ID: I20150625000633
Medical Identifiers
Medical identifiers for Chad Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538557715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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. Chad Crockett allows following entities to bill medicare on his behalf.
| Provider Name | Permanente Medical Group Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
|---|
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. Chad Crockett 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 |
|---|
Chad Crockett, DPT
2145 E Cardella St,
Firebaugh, CA 93622-2519
Ph: () - | Chad Crockett, DPT
2145 E Cardella St,
Firebaugh, CA 93622-2519
Ph: (559) 696-3510 |
Reviews and Comments