Camille Elizabeth Crockett, ATC - Physical Medicine & Rehabilitation in Provo, UT

Camille Elizabeth Crockett, ATC is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Provo, Utah. Camille Elizabeth Crockett is licensed to practice in Utah (license number 11395933-4810) and her current practice location is 1130 Smith Fieldhouse, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 422-2946.

NPI number for Camille Elizabeth Crockett is 1396393393 and her current mailing address is 1130 Smith Fieldhouse, Provo, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396393393.

Contact Information

Camille Elizabeth Crockett, ATC
1130 Smith Fieldhouse,
Provo, UT 84602-2246
(801) 422-2946
Not Available



Physician's Profile

Full NameCamille Elizabeth Crockett
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location1130 Smith Fieldhouse, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396393393
  • Provider Enumeration Date: 09/03/2019
  • Last Update Date: 09/03/2019

Medical Identifiers

Medical identifiers for Camille Elizabeth Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396393393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 11395933-4810 (Utah)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. Camille Elizabeth 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 AddressPractice Location Address
Camille Elizabeth Crockett, ATC
1130 Smith Fieldhouse,
Provo, UT 84602-2246

Ph: () -
Camille Elizabeth Crockett, ATC
1130 Smith Fieldhouse,
Provo, UT 84602-2246

Ph: (801) 422-2946

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Physical Medicine & Rehabilitation Doctors in Provo, UT

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Claire A Gross, MD
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Brian K Olenslager, M.D.
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Phone: 801-356-6100    Fax: 801-356-2113
Robin Ockey, MD
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Practice Location: 1134 N 500 W, Provo, UT 84604
Phone: 801-357-8310    
Dr. Benjamin Steven Crouch, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W Ste 121, Provo, UT 84604
Phone: 801-373-7350    Fax: 801-812-5401
Dr. Kirk W Leininger, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W, #410, Provo, UT 84604
Phone: 801-357-8818    Fax: 801-357-8817

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