Kaleena Crooks, NP - Medicare Nurse Practitioner in Putnam, CT

Kaleena Crooks, NP is a medicare enrolled "Nurse Practitioner - Family" in Putnam, Connecticut. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Providence Community Health Centers Inc. and her current practice location is 202 Pomfret St, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 963-7917.

Kaleena Crooks is licensed to practice in Connecticut (license number 12681) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639717408.

Contact Information

Kaleena Crooks, NP
202 Pomfret St,
Putnam, CT 06260-1833
(860) 963-7917
(860) 963-0015



Provider's Profile

Full NameKaleena Crooks
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location202 Pomfret St, Putnam, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaleena Crooks graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1639717408
  • Provider Enumeration Date: 12/12/2019
  • Last Update Date: 04/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941610968
  • Enrollment ID: I20201103001582

Medical Identifiers

Medical identifiers for Kaleena Crooks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639717408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12681 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Providence Community Health Centers Inc.933505096288

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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. Kaleena Crooks allows following entities to bill medicare on her behalf.
Entity NameThe Providence Community Health Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053313593
PECOS PAC ID: 9335050962
Enrollment ID: O20040608000007

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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. Kaleena Crooks 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
Kaleena Crooks, NP
40 Mansfield Ave,
Willimantic, CT 06226-2018

Ph: (860) 450-7471
Kaleena Crooks, NP
202 Pomfret St,
Putnam, CT 06260-1833

Ph: (860) 963-7917

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Nurse Practitioner Nurses in Putnam, CT

Sara Cathleen Nickle, DNP, FNP-C, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 330 Pomfret St, Putnam, CT 06260
Phone: 860-928-2736    
Mrs. Jeanne Bedard, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 346 Pomfret St, Putnam, CT 06260
Phone: 860-928-0815    Fax: 860-928-4514
Kimberly J Lane, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 Pomfret St, Putnam, CT 06260
Phone: 860-928-6541    Fax: 860-963-6393
Marissa Lahaie, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 330 Pomfret St, Putnam, CT 06260
Phone: 860-928-2736    
Mrs. Kerri Lynn Sauer, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 35 Kennedy Dr, Putnam, CT 06260
Phone: 860-963-2133    
Ralph Frank Hirschfeld, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 Pomfret St, Putnam, CT 06260
Phone: 860-963-7917    Fax: 860-963-0015
Annette Jakubisin-konicki, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 320 Pomfret St, Putnam, CT 06260
Phone: 860-963-6390    Fax: 860-963-6343

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