| Dr Ronald L Crafton, MD | |
|
1025 New Moody Ln, La Grange, KY 40031-9154 | |
| (502) 222-3347 | |
| (502) 222-3634 |
| Full Name | Dr Ronald L Crafton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1025 New Moody Ln, La Grange, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619923802 | NPI | - | NPPES |
| 200418180 | Medicaid | IN | |
| 30056 | Other | KY | KENTUCKY LICENSE |
| 64300569 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 30056 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald L Crafton, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 253-1035 | Dr Ronald L Crafton, MD 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-3347 |
Dr. Timothy G Price, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3347 | |
Joshua Wallace French, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-5388 | |
Dr. Steven D Skaggs, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3347 | |
Dr. Michael R Lawrence, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3347 Fax: 502-222-3634 | |
Sandra Lynn Savage, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 New Moody Ln Fl 1, La Grange, KY 40031 Phone: 502-222-0028 | |
Dr. Ricky L Rowe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3347 Fax: 502-222-3634 |