| Pascal George Crosley, DO | |
|
2801 Dekalb Medical Parkway, Lithonia, GA 30058 | |
| (404) 501-8700 | |
| (404) 501-5093 |
| Full Name | Pascal George Crosley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2801 Dekalb Medical Parkway, Lithonia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548206295 | NPI | - | NPPES |
| 601790765E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 054481 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 25MB10118500 (New Jersey) | Primary |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821434002 PECOS PAC ID: 6608056171 Enrollment ID: O20130621000257 |
| Entity Name | Ppns |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609466507 PECOS PAC ID: 9436581725 Enrollment ID: O20211115001111 |
| Mailing Address | Practice Location Address |
|---|---|
| Pascal George Crosley, DO 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Pascal George Crosley, DO 2801 Dekalb Medical Parkway, Lithonia, GA 30058 Ph: (404) 501-8700 |
Laxmi M Naik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8700 | |
Julius B Oderinde, M.D . Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5403 Sandy Lk E, Lithonia, GA 30038 Phone: 478-714-6901 | |
Julia Anne Wilson, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8700 |