DR. SAMUEL R. CROCKETT III M.D.
NPI 1669448957
Anesthesiology in Wilkes Barre, PA

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA, WILKES BARRE, PA 18711(570) 826-7850(570) 826-7855 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samuel R. Crockett Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL R. CROCKETT III M.D. (NPI 1669448957) is an individual anesthesiology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD073611L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1991).

NPPES Registry Identity

NPI1669448957
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. SAMUEL R. CROCKETT IIICredential: M.D.
Location Address1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIAWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-3034 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 826-7855
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1991
Enumeration DateFebruary 27, 2006
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
NPI 1669448957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in PA · MD073611L
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

Other Identifiers 1

Medicaid001806174PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel R. Crockett Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012094758
PECOS Enrollment IDI20080407000000
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
25 services25 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
23 services22 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY
WILKES BARRE, PA 18711
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY
WILKES BARRE, PA 18711
Anesthesiology
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669448957, enumerated as an "individual" on February 27, 2006.

The provider is located at 1000 E MOUNTAIN BLVD DEPT OF ANESTHESIA WILKES BARRE, PA 18711 and the phone number is (570) 826-7850.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Samuel Crockett is affiliated with: GEISINGER WYOMING VALLEY MEDICAL CENTER.