Dr Andrew Owen Crockett, MD - Medicare General Surgery in Lebanon, NH

Dr Andrew Owen Crockett, MD is a medicare enrolled "Surgery" physician in Lebanon, New Hampshire. He went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Dartmouth-hitchcock Clinic and his current practice location is 1 Medical Center Drive, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-8022.

Dr Andrew Owen Crockett is licensed to practice in New Hampshire (license number 15212) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356559504.

Contact Information

Dr Andrew Owen Crockett, MD
1 Medical Center Drive,
Lebanon, NH 03756-0001
(603) 650-8022
Not Available



Physician's Profile

Full NameDr Andrew Owen Crockett
GenderMale
SpecialityGeneral Surgery
Experience19 Years
Location1 Medical Center Drive, Lebanon, New Hampshire
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrew Owen Crockett attended and graduated from University Of Utah School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1356559504
  • Provider Enumeration Date: 05/20/2007
  • Last Update Date: 09/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395917850
  • Enrollment ID: I20111006000196

Medical Identifiers

Medical identifiers for Dr Andrew Owen Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356559504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 15212 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dartmouth-hitchcock Clinic41835375091139

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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. Dr Andrew Owen Crockett allows following entities to bill medicare on his behalf.
Entity NameMary Hitchcock Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023092053
PECOS PAC ID: 4486561164
Enrollment ID: O20031126000258

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Entity NameDartmouth-hitchcock Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442

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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 Andrew Owen 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 AddressPractice Location Address
Dr Andrew Owen Crockett, MD
1 Medical Center Dr,
Lebanon, NH 03756-0001

Ph: (603) 650-8022
Dr Andrew Owen Crockett, MD
1 Medical Center Drive,
Lebanon, NH 03756-0001

Ph: (603) 650-8022

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Surgery Doctors in Lebanon, NH

Nikolaos Zacharias, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Vascular Surgery, Lebanon, NH 03756
Phone: 603-650-8677    
Juliana Castellano, MD, PHD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: One Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-8693    
Gina Lynn Adrales, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-8113    Fax: 603-650-8030
Astrid Gleaton, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-5000    
Stefanie Sueda,
Surgery
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-5000    
Dr. James C Cooros, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Lebanon, NH 03756
Phone: 603-650-8050    
Dr. David H Stone, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Dhmc Department Of Surgery, Lebanon, NH 03756
Phone: 603-650-4682    Fax: 603-650-4973

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