| Dr Jason Michael Crouch, DO | |
|
806 Manvel Ave, Chandler, OK 74834-3858 | |
| (405) 258-9955 | |
| (405) 258-9930 |
| Full Name | Dr Jason Michael Crouch |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 806 Manvel Ave, Chandler, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497890115 | NPI | - | NPPES |
| 200116510 A | Other | OK | MEDICAID # FOR CROUCH FAMILY MEDICINE (CLINIC) |
| 37D1067992 | Other | CLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB) | |
| 9060050 | Other | AETNA PIN | |
| 1618242 | Other | COVENTRY HEALTH CARE PROVIDER ID # | |
| 200116510A | Medicaid | OK | |
| 6147210001 | Other | DURABLE MEDICAL EQUIPMENT (DME) PTAN | |
| P00465778 | Other | RAILROAD MEDICARE PT B PTAN | |
| 200116520A | Medicaid | OK | |
| 300522328 | Other | MEDICARE # FOR CROUCH FAMILY MEDICINE (CLINIC) | |
| DG9878 | Other | RAILROAD MEDICARE PT B GROUP NUMBER | |
| 1609093228 | Other | NPI FOR CROUCH FAMILY MEDICINE PC (ORGANIZATION NPI) | |
| 243722101 | Other | MEDICARE # FOR JASON CROUCH, D.O. | |
| 1497890115 | Other | NPI FOR JASON CROUCH, D.O. | |
| 200116520 A | Other | OK | MEDICAID # FOR JASON CROUCH, D.O. |
| 4474235 | Other | CIGNA HEALTHCARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4290 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Oklahoma city, OK | Home health agency |
| Best Home Health Care, Inc. | Chandler, OK | Home health agency |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crouch Family Medicine Pc | 2062503709 | 2 |
| Entity Name | Crouch Family Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609093228 PECOS PAC ID: 2062503709 Enrollment ID: O20070809000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Michael Crouch, DO 806 Manvel Ave, Chandler, OK 74834-3858 Ph: (405) 258-9955 | Dr Jason Michael Crouch, DO 806 Manvel Ave, Chandler, OK 74834-3858 Ph: (405) 258-9955 |
Dr. David Warren Dawson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 511 E 1st St, Chandler, OK 74834 Phone: 405-654-0013 Fax: 405-654-0012 | |
Wendell L Richards, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Highway 18, Chandler, OK 74834 Phone: 405-258-2500 Fax: 405-258-3053 |