| Patrick Mark Crawford Jr, MD | |
|
1767 Imperial Blvd, Lake Charles, LA 70605-5362 | |
| (337) 478-3810 | |
| (337) 478-6360 |
| Full Name | Patrick Mark Crawford Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 32 Years |
| Location | 1767 Imperial Blvd, Lake Charles, Louisiana |
| 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 |
|---|---|---|---|
| 1619959541 | NPI | - | NPPES |
| 180033484 | Other | LA | RAILROAD MEDICARE |
| 5499590 | Other | LA | AETNA |
| 720680677025 | Other | LA | CIGNA |
| 1490776 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 10506R (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Clinic A Professional Medical Corp | 0941101307 | 14 |
| Entity Name | Eye Clinic A Professional Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915121 PECOS PAC ID: 0941101307 Enrollment ID: O20040119000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Mark Crawford Jr, MD 1767 Imperial Blvd Ste 1, Lake Charles, LA 70605-5362 Ph: (337) 478-3810 | Patrick Mark Crawford Jr, MD 1767 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 478-3810 |
Margaret Young Carter, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1717 Oak Park Blvd, #1, Lake Charles, LA 70601 Phone: 337-478-3810 | |
Dr. Don Alan Bravin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 | |
Brian Mikulla, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1980 Tybee St, Lake Charles, LA 70605 Phone: 337-477-0963 Fax: 337-477-1912 | |
Gerard Guidry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Alan Daniel Lacoste, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 | |
Dr. Larry Don Stewart, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 | |
Marcy L. Hanudel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 |