Tom Crockett, is a
Psychologist - School based in Iola, Wisconsin. Tom Crockett is licensed to practice in Wisconsin (license number 661651) and his current practice location is
450 Division St, Iola, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 445-2411.
NPI number for Tom Crockett is 1710818265 and his current mailing address is 151409 Lily Ln, Rib Mountain, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710818265.
Healthcare Provider's Profile
| Full Name | Tom Crockett |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 450 Division St, Iola, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710818265
- Provider Enumeration Date: 05/26/2026
- Last Update Date: 05/26/2026
Medical Identifiers
Medical identifiers for Tom Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710818265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 661651 (Wisconsin) | 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. Tom 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 |
Tom Crockett, 151409 Lily Ln, Rib Mountain, WI 54401-5427 Ph: (888) 801-2666 | Tom Crockett, 450 Division St, Iola, WI 54945-9629 Ph: (715) 445-2411 |
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