Tracy Crockett, PA in Athens, GA - Medicare Physician Assistant

Tracy Crockett, PA is a medicare enrolled "Physician Assistant - Medical" in Athens, Georgia. Her current practice location is 2470 Daniels Bridge Rd, Bldg 200 Suite 251, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 389-3440.

Tracy Crockett is licensed to practice in Georgia (license number 1763) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184626996.

Contact Information

	Tracy Crockett, PA
	2470 Daniels Bridge Rd, Bldg 200 Suite 251, Athens, GA 30606-6187
	(706) 389-3440
	(706) 353-2771

Provider's Profile

Full Name	Tracy Crockett
Gender	Female
Speciality	Physician Assistant - Medical
Location	2470 Daniels Bridge Rd, Athens, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184626996
Provider Enumeration Date: 08/11/2005
Last Update Date: 02/20/2013

Medicare PECOS Information:

PECOS PAC ID: 7517049570
Enrollment ID: I20080129000718

Medical Identifiers

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

Identifier	Type	State	Issuer
1184626996	NPI	-	NPPES
100000351C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1763 (Georgia)	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. Tracy 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
Tracy Crockett, PA 1131 Golf Course Ln, Athens, GA 30605-5350 Ph: (706) 613-1518	Tracy Crockett, PA 2470 Daniels Bridge Rd, Bldg 200 Suite 251, Athens, GA 30606-6187 Ph: (706) 389-3440

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Physician Assistant Nurses in Athens, GA

Kayla Weaver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Rd, Athens, GA 30607 Phone: 706-613-1625
Kalen Elizabeth Ashford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1061 Dowdy Rd Ste 202, Athens, GA 30606 Phone: 706-389-8941 Fax: 706-389-8942
Jordan Barr, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607 Phone: 706-353-2990
Amanda Wilkins, CAA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449
Julie A Puder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Hawthorne Ln, Athens, GA 30606 Phone: 706-353-7648 Fax: 706-353-7788
Joseph Hale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792
Marie B Anderson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Trinity Pl, Athens, GA 30607 Phone: 706-543-2718 Fax: 706-353-3709

Tracy Crockett, PA - Medicare Physician Assistant in Athens, GA