| Nicholas D Crall, DO | |
|
2017 Jefferson St Sw, Roanoke, VA 24014-2419 | |
| (540) 981-8025 | |
| (540) 853-0511 |
| Full Name | Nicholas D Crall |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 16 Years |
| Location | 2017 Jefferson St Sw, Roanoke, Virginia |
| 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 |
|---|---|---|---|
| 1316262645 | NPI | - | NPPES |
| 0102203754 | Other | VA | VIRGINIA LICENSE |
| Q1384 | Other | TX | TEXAS LICENSE |
| DR.0063859 | Other | CO | COLORADO LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Northern Dutchess Hospital | Rhinebeck, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| Peacehealth Medical Group | 9032023270 | 256 |
| Mary Imogene Bassett Hospital | 3779488325 | 780 |
| Legacy Clinics Llc | 0244144004 | 714 |
| Edward W Sparrow Hospital Association | 6709799166 | 698 |
| Allina Health System | 4587573613 | 3844 |
| Legacy Salmon Creek Hospital | 0446295711 | 309 |
| Ssm Regional Health Services | 8921917352 | 165 |
| Mclaren Medical Group | 3971416082 | 240 |
| Peacehealth Medical Group | 9032023270 | 256 |
| Allina Health System | 4587573613 | 3844 |
| Nuvance Health Medical Practice Pc | 1658468442 | 578 |
| Mary Imogene Bassett Hospital | 3779488325 | 780 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730258971 PECOS PAC ID: 3577451152 Enrollment ID: O20081209000720 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20160708000816 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20210222000318 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20250730000861 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20250730001215 |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20250902000267 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20250902001281 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20250911002731 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548698806 PECOS PAC ID: 6103056288 Enrollment ID: O20250923003507 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20251019000201 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20251105001287 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508129842 PECOS PAC ID: 9335391044 Enrollment ID: O20251109000018 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790286193 PECOS PAC ID: 4587573613 Enrollment ID: O20260219000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas D Crall, DO 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5516 | Nicholas D Crall, DO 2017 Jefferson St Sw, Roanoke, VA 24014-2419 Ph: (540) 981-8025 |
Rodney James Snodgrass Deaton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 |
Carlos Mora, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-985-9427 |
John H Draeger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 |
Fahim Fahim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 Stoneledge Dr, Roanoke, VA 24019 Phone: 540-391-1085 |
Dr. John Eric Vance, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 |
Dr. John Gordon Burch, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4431 Starkey Rd, Roanoke, VA 24018 Phone: 540-342-0211 Fax: 540-344-5543 |
Sooraj John, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 Fax: 540-853-0511 |