Dr Larry George Crick, MD | |
110 3rd St, Suite 180, Henderson, KY 42420-2993 | |
(270) 827-3573 | |
(270) 827-1250 |
Full Name | Dr Larry George Crick |
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Gender | Male |
Speciality | Pediatrics |
Location | 110 3rd St, Henderson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821155532 | NPI | - | NPPES |
64202351 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20235 (Kentucky) | Primary |
208000000X | Pediatrics | 01041832A (Indiana) | Secondary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
Mailing Address | Practice Location Address |
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Dr Larry George Crick, MD 110 3rd St, Suite 180, Henderson, KY 42420-2993 Ph: (270) 827-3573 | Dr Larry George Crick, MD 110 3rd St, Suite 180, Henderson, KY 42420-2993 Ph: (270) 827-3573 |
Dr. Kelly Winston Fife, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 3rd St, Suite 180, Imperial Building, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Eric Douglas Ervin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 110 3rd St, Suite 180, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Dr. Fred L. Barnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1997 Barrett Ct, Henderson, KY 42420 Phone: 270-826-3538 Fax: 270-827-2779 | |
Mr. Garrett Chase Koon, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2000 N Elm St, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Maria C Aljabi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Starlite Dr, Henderson, KY 42420 Phone: 270-844-8027 Fax: 270-844-8183 | |
Dr. Lesa Sue Sutton-davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 N Elm St Ste 1b, Henderson, KY 42420 Phone: 270-844-8144 Fax: 270-844-8145 | |
Dr. Iyad A Aljabi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Klutey Park Plaza Dr, Henderson, KY 42420 Phone: 270-830-0313 Fax: 270-830-7117 |