DR. MARK P CRICK MD NPI 1003801895

Internal Medicine in Statesboro, GA

Individual Male Internal Medicine PECOS Enrolled Accepts Medicare Years Experience 30

About MARK CRICK

Mark Crick is a provider established in Statesboro, Georgia and his medical specialization is internal medicine with more than 30 years of experience. The NPI number of Mark Crick is 1003801895 and was assigned on September 2005. The practitioner's primary taxonomy code is 207R00000X with license number 041421 (GA). The provider is registered as an individual and his NPI record was last updated May 2019. Mark Crick is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003801895

Provider NameDR. MARK P CRICK MD
Provider Location Address1449 BRAMPTON AVE STATESBORO, GA 30458
Provider Mailing Address1449 BRAMPTON AVE STATESBORO, GA 30458
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-17-2005
Last Update Date05-06-2019

Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.041421
License StateGA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. MARK P CRICK MD
1449 BRAMPTON AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 871-2900
Fax: (912) 871-2903

Get Directions

Mailing Address

DR. MARK P CRICK MD
1449 BRAMPTON AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 871-2900
Fax: (912) 871-2903

Secondary Locations

425 W 3rd Ave STE 340
Albany, GA 31701
(229) 312-9150

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4587704358
PECOS Enrollment IDI20091230000001
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 510Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 28Administration of pneumococcal vaccine (HCPCS:G0009)
  • 26Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 19Administration of influenza virus vaccine (HCPCS:G0008)
  • 14Hemoglobin A1C level (HCPCS:83036)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
EAST GEORGIA REGIONAL MEDICAL CENTER110075

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000750329BMEDICAID (05)GA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255536447 SHANNON HALL P.A.
Individual
Physician Assistant1449 BRAMPTON AVE
STATESBORO, GA 30458
(912) 871-2900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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