| Thomas Richard Crutchfield, FNP-C | |
|
153 Cypress Creek Dr Ne, Ludowici, GA 31316-3131 | |
| (912) 271-8678 | |
| Not Available |
| Full Name | Thomas Richard Crutchfield |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 153 Cypress Creek Dr Ne, Ludowici, Georgia |
| 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 |
|---|---|---|---|
| 1306565460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 254229 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Authority Of Liberty County | 5799772190 | 15 |
| Wayne Emergency Group Llc | 6103926241 | 7 |
| Entity Name | Hospital Authority Of Liberty County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326079260 PECOS PAC ID: 5799772190 Enrollment ID: O20040428000377 |
| Entity Name | Wayne Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Richard Crutchfield, FNP-C 153 Cypress Creek Dr Ne, Ludowici, GA 31316-3131 Ph: (912) 271-8678 | Thomas Richard Crutchfield, FNP-C 153 Cypress Creek Dr Ne, Ludowici, GA 31316-3131 Ph: (912) 271-8678 |
Mrs. Angela Elizabeth Hartley, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 584 N Macon St, Ludowici, GA 31316 Phone: 912-545-2107 Fax: 912-545-2112 | |
Melissa D Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 | |
Florence O Baggs, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Coastal Manor Dr, Ludowici, GA 31316 Phone: 912-369-9313 Fax: 912-545-0043 | |
Krystal Marie Osinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Blueberry Ct Ne, Ludowici, GA 31316 Phone: 855-560-4999 | |
Kayla Elise Mock, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 Madison Ave Ne, Ludowici, GA 31316 Phone: 912-432-9954 | |
Holli Bailey Eason, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 |