| Edward Frank Crocker Jr, MD | |
|
255 Baptist Blvd, Suite 401, Columbus, MS 39705-2011 | |
| (662) 244-2288 | |
| (662) 244-2289 |
| Full Name | Edward Frank Crocker Jr |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 255 Baptist Blvd, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770519951 | NPI | - | NPPES |
| 05082097 | Medicaid | MS | |
| 731-04786 | Other | AL | BCBS AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 17871 (Mississippi) | Primary |
| Entity Name | Noxubee General Critical Access Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477793305 PECOS PAC ID: 9335130798 Enrollment ID: O20040524000515 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Frank Crocker Jr, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Edward Frank Crocker Jr, MD 255 Baptist Blvd, Suite 401, Columbus, MS 39705-2011 Ph: (662) 244-2288 |
Dr. Hector A Dox, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 401, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2289 | |
Mr. Lee Douglass Roberson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 405, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2289 | |
Dr. William Stewart Horsley, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 401, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2289 |