Dr Michael Crockett, PSYD in Gresham, OR - Medicare Psychologist Provider

Dr Michael Crockett, PSYD is a medicare enrolled "Psychologist" provider in Gresham, Oregon. His current practice location is 4316 Se 182nd Ave, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 893-2249.

Dr Michael 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 1780074807.

Contact Information

	Dr Michael Crockett, PSYD
	4316 Se 182nd Ave, Gresham, OR 97030-5058
	(503) 893-2249
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Crockett
Gender	Male
Speciality	Psychologist
Location	4316 Se 182nd Ave, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780074807
Provider Enumeration Date: 01/27/2015
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1759776131
Enrollment ID: I20220322000917

Medical Identifiers

Medical identifiers for Dr Michael Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780074807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	Secondary
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TP2701X	Psychologist - Group Psychotherapy	(* (Not Available))	Secondary
103T00000X	Psychologist	(* (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. Dr Michael 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
Dr Michael Crockett, PSYD 2315 Ne Francis Ct, Gresham, OR 97030-3155 Ph: (302) 270-8286	Dr Michael Crockett, PSYD 4316 Se 182nd Ave, Gresham, OR 97030-5058 Ph: (503) 893-2249

Reviews and Comments

Psychologist in Gresham, OR

Clark Paul Rector, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 Nw Civic Dr, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Dr. Ronn Jeffry Nelson Ii, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030 Phone: 503-476-4929
Beth Diane French, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600
Patricia Renee Shimek, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Powell Blvd, Gresham, OR 97080 Phone: 503-669-4300 Fax: 503-669-4301
Mrs. Joni Marie Moon, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 502 N Main Ave, Gresham, OR 97030 Phone: 503-891-0749
Dr. Douglas K. Hicks, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Ne Burnside Rd, Building B, Suite 401, Gresham, OR 97030 Phone: 503-666-8832 Fax: 503-669-8641
Dr. Ryan Lee Skelton, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 E Powell Blvd, 305, Gresham, OR 97030 Phone: 503-789-9394

Dr Michael Crockett, PSYD - Medicare Psychologist in Gresham, OR