| Dr Robert F Crochelt, MD, PHD, FACS | |
|
246 Hospital Dr, Ukiah, CA 95482-4533 | |
| (707) 462-8011 | |
| Not Available |
| Full Name | Dr Robert F Crochelt |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 246 Hospital Dr, Ukiah, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225060031 | NPI | - | NPPES |
| 001953070 | Other | WV | MOUNTAIN STATE BCBS |
| 22713 | Other | WV | MEDICAL LICENSE |
| 1225060031 | Medicaid | MT | |
| 0170620 | Other | WA | WASHINGTON L&I |
| WV01756 | Other | WV | HEALTH PLAN |
| 3810008522 | Medicaid | WV | |
| 020032890 | Other | AK | MEDICARE RAILRAOD |
| P00389615 | Other | WV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35923 (Montana) | Secondary |
| 208600000X | Surgery | G069042 (California) | Primary |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert F Crochelt, MD, PHD, FACS 246 Hospital Dr, Ukiah, CA 95482-4533 Ph: (707) 463-8011 | Dr Robert F Crochelt, MD, PHD, FACS 246 Hospital Dr, Ukiah, CA 95482-4533 Ph: (707) 462-8011 |
Ziad Hanna, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-463-8006 | |
Dr. Daniel Ojala, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8011 Fax: 707-463-8044 | |
Dr. Larry Charles Falk, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Hospital Dr Ste A, Ukiah, CA 95482 Phone: 707-468-5000 Fax: 707-468-5097 | |
Dr. Randal E Schafer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8011 Fax: 707-463-8044 | |
Dr. Fredrick Anthony Burris, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 246 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 | |
Dr. Joanne Leibe, DO, MPH, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 246 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8011 Fax: 707-463-8044 |