| John P Craddock, MD | |
|
310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | |
| (270) 659-5865 | |
| (270) 659-5854 |
| Full Name | John P Craddock |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
| 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 |
|---|---|---|---|
| 1184767196 | NPI | - | NPPES |
| 64036940 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 34314 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| T J Samson Community Hospital | 0648182600 | 136 |
| Entity Name | T J Samson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Craddock, MD 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5865 | John P Craddock, MD 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5865 |
Dr. Bharati B Mody, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-7441 Fax: 270-651-1126 | |
Catherine A Feese, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5865 Fax: 270-659-5854 | |
Orlando Bravo, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1411 N Race St, Glasgow, KY 42141 Phone: 270-651-9755 Fax: 270-651-7562 | |
Stephanie Anne Freeman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-2229 Fax: 270-651-2236 | |
Dr. Jose Orlando Vazquez-vicente, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5865 Fax: 270-659-5854 | |
Todd A. Bader, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5865 Fax: 270-659-5854 |