| Jerome R Crane, PA | |
|
707 N Waldrip St, Grand Saline, TX 75140-1555 | |
| (903) 962-4242 | |
| (903) 962-7799 |
| Full Name | Jerome R Crane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 707 N Waldrip St, Grand Saline, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942338702 | NPI | - | NPPES |
| 1A3305 | Other | TX | MEDICARE |
| 8561ND | Other | TX | BCBS |
| 307729903 | Medicaid | TX | |
| 909591 | Other | TX | MEDICARE |
| 8MD176 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01073 (Texas) | Primary |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Dallam-hartley Counties Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245353747 PECOS PAC ID: 0143112805 Enrollment ID: O20040428001365 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Wellness & Care Group of Texas, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487964870 PECOS PAC ID: 8921287475 Enrollment ID: O20110128001026 |
| Entity Name | Imed Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063809465 PECOS PAC ID: 6608103155 Enrollment ID: O20190807001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome R Crane, PA 707 N Waldrip St, Grand Saline, TX 75140-1555 Ph: (903) 913-6300 | Jerome R Crane, PA 707 N Waldrip St, Grand Saline, TX 75140-1555 Ph: (903) 962-4242 |