| Samuel John Crutcher, MD | |
|
1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | |
| (615) 444-6203 | |
| (615) 444-6252 |
| Full Name | Samuel John Crutcher |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1407 W Baddour Pkwy, Lebanon, Tennessee |
| 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 |
|---|---|---|---|
| 1124150016 | NPI | - | NPPES |
| MD45549 | Other | TN | LICENSE |
| 29024 | Other | SC | LICENSE |
| 290241 | Medicaid | SC | |
| 3035474 | Other | TN | UHC |
| 11970229 | Other | TN | CAQH |
| 1522977 | Medicaid | TN | |
| 4272184 | Other | TN | BCBS |
| 7919136 | Other | TN | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29024 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 45549 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Nashville, TN | Home health agency |
| Kindred At Home 1 | Lebanon, TN | Home health agency |
| Vanderbilt Wilson County Hospital | Lebanon, TN | Hospital |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Pc | 4486544970 | 13 |
| Entity Name | Family Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295805794 PECOS PAC ID: 4486544970 Enrollment ID: O20040318000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel John Crutcher, MD 1407 W. Baddour Parkway, Lebanon, TN 37087-2513 Ph: (615) 444-6203 | Samuel John Crutcher, MD 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 444-6203 |
Lauren Uichanco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-8262 | |
James M Bachstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Babb Dr, Lebanon, TN 37087 Phone: 615-466-0041 Fax: 615-466-0042 | |
Dr. Thomas P Jaselskis, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 E Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-5325 Fax: 615-532-2785 | |
Dr. Roger E Mckinney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 | |
Dr. James M Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 | |
Mr. Gary G. Gallant, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 S Hartmann Dr Ste 110, Lebanon, TN 37090 Phone: 615-994-4110 Fax: 615-994-4113 |