Crockett Medical Center, LLC
NPI 1487155990ActiveOrganization· Family Medicine· Crockett, TX
Family Medicine in Crockett, Texas, registered in NPPES in February 2018. The authorized official on file is Kelly Eugene Tjelmeland, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487155990 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2018 |
| Last updated in NPPES | Aug 28, 2018 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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