| Gabrielle Marie Crockett, | |
|
733 W Clairemont Ave, Eau Claire, WI 54701-6117 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Gabrielle Marie Crockett |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 733 W Clairemont Ave, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578254488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3817 (Tennessee) | Secondary |
| 152W00000X | Optometrist | 3978 (Wisconsin) | Primary |
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Marie Crockett, 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Gabrielle Marie Crockett, 733 W Clairemont Ave, Eau Claire, WI 54701-6117 Ph: (507) 284-2511 |
Christopher Salfai, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4800 Golf Rd, Eau Claire, WI 54701 Phone: 715-834-8404 Fax: 715-834-2900 | |
Dr. Rebecca Anne Kabat, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2600 Stein Blvd, Eau Claire, WI 54701 Phone: 715-832-4946 Fax: 715-832-0699 | |
Dr. Fengqi Zhou, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Dr. Paul S Delakis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4054 Commonwealth Ave, Eau Claire, WI 54701 Phone: 715-833-1220 Fax: 715-833-1297 | |
Brooke Sosalla, OD Optometrist Medicare: Medicare Enrolled Practice Location: 733 W Clairemont, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Espy Specs Sc Optometrist Medicare: Medicare Enrolled Practice Location: 2720 Golf Rd, Eau Claire, WI 54701 Phone: 715-318-0906 Fax: 715-800-2017 | |
Kaitlyn Robin Streachek, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500 |