Mr Patrick Kenan Crosby, RPH in Groveland, CA - Medicare Pharmacist Provider

Mr Patrick Kenan Crosby, RPH is a medicare enrolled "Pharmacist" provider in Groveland, California. His current practice location is 18638 Main St, Groveland, California. You can reach out to his office (for appointments etc.) via phone at (209) 962-5211.

Mr Patrick Kenan Crosby is licensed to practice in California (license number 42856) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235341603.

Contact Information

	Mr Patrick Kenan Crosby, RPH
	18638 Main St, Groveland, CA 95321-9458
	(209) 962-5211
	(209) 962-0963

Healthcare Provider's Profile

Full Name	Mr Patrick Kenan Crosby
Gender	Male
Speciality	Pharmacist
Location	18638 Main St, Groveland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235341603
Provider Enumeration Date: 05/05/2007
Last Update Date: 04/16/2014

Medicare PECOS Information:

PECOS PAC ID: 4789878471
Enrollment ID: I20120926000456

Medical Identifiers

Medical identifiers for Mr Patrick Kenan Crosby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235341603	NPI	-	NPPES
GM613A	Other	CA	PTAN FOR MASS IMMUNIZATION ROSTER BILLER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	42856 (California)	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. Mr Patrick Kenan Crosby 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
Mr Patrick Kenan Crosby, RPH Po Box 809, Groveland, CA 95321-0809 Ph: (209) 962-5211	Mr Patrick Kenan Crosby, RPH 18638 Main St, Groveland, CA 95321-9458 Ph: (209) 962-5211

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Mr Patrick Kenan Crosby, RPH - Medicare Pharmacist in Groveland, CA