Dr Laurance Davis Cracroft, MD | |
4077 Fifth Ave, San Diego, CA 92103-2105 | |
(619) 260-7000 | |
(619) 260-7050 |
Full Name | Dr Laurance Davis Cracroft |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4077 Fifth Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073549788 | NPI | - | NPPES |
00G285870 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G28587 (California) | Primary |
Entity Name | Pacific Emergency Providers A Prof Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497790539 PECOS PAC ID: 1557327608 Enrollment ID: O20041209000658 |
Mailing Address | Practice Location Address |
---|---|
Dr Laurance Davis Cracroft, MD Po Box 662110, Arcadia, CA 91066-2110 Ph: (626) 447-0296 | Dr Laurance Davis Cracroft, MD 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 260-7000 |
Sarah Wilkinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8819, San Diego, CA 92103 Phone: 956-458-9885 | |
Dr. Ramandeep Singh Dhillon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 El Cajon Blvd, San Diego, CA 92115 Phone: 619-515-2400 | |
Phillip Edward Fry Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Mina Kyrollus Ghobrial, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Timothy Stuart Hinman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Ave, San Diego, CA 92101 Phone: 858-499-2600 | |
Dr. Peter D. Aldrich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15025 Innovation Dr, San Diego, CA 92128 Phone: 858-554-8638 | |
Dr. Matthew J. Perl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7171 |