| Mark A Kroll, MD | |
|
108 Bravo Blvd, Glasgow, KY 42141-3412 | |
| (270) 651-2181 | |
| (270) 651-2183 |
| Full Name | Mark A Kroll |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 23 Years |
| Location | 108 Bravo 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 |
|---|---|---|---|
| 1568494136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 41304 (Tennessee) | Primary |
| 207W00000X | Ophthalmology | 48769 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Donelson Eyecare, Pllc | 0446299051 | 4 |
| Clarksville Ophthalmology P.c. | 6103867965 | 4 |
| Cool Springs Eyecare Pllc | 8921193285 | 8 |
| Entity Name | Donelson Eyecare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548302854 PECOS PAC ID: 0446299051 Enrollment ID: O20050503000086 |
| Entity Name | Clarksville Ophthalmology P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598746794 PECOS PAC ID: 6103867965 Enrollment ID: O20050523000063 |
| Entity Name | Cool Springs Eyecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104968817 PECOS PAC ID: 8921193285 Enrollment ID: O20071001000845 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Kroll, MD 3252 Aspen Grove Dr, Ste 1, Franklin, TN 37067-4894 Ph: (615) 786-9044 | Mark A Kroll, MD 108 Bravo Blvd, Glasgow, KY 42141-3412 Ph: (270) 651-2181 |
Dr. Spencer Broady Witcher, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 108 Bravo Blvd, Glasgow, KY 42141 Phone: 270-651-2181 Fax: 270-651-2183 | |
Dailey Mcpeak, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1507 Bravo Blvd, Glasgow, KY 42141 Phone: 270-651-2181 Fax: 270-651-2183 |