Dr Terry Lee Croasdale, MD in Manteca, CA - Medicare Internal Medicine

Dr Terry Lee Croasdale, MD is a medicare enrolled "Internal Medicine" physician in Manteca, California. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice First Choice Physician Partners and his current practice location is 1262 E North St, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 823-7646.

Dr Terry Lee Croasdale is licensed to practice in California (license number C43012) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295713147.

Contact Information

	Dr Terry Lee Croasdale, MD
	1262 E North St, Manteca, CA 95336-4962
	(209) 823-7646
	(209) 239-9594

Map and Direction

Physician's Profile

Full Name	Dr Terry Lee Croasdale
Gender	Male
Speciality	Internal Medicine
Experience	40 Years
Location	1262 E North St, Manteca, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Terry Lee Croasdale attended and graduated from University Of Missouri, Columbia School Of Medicine in 1984

NPI Data:

NPI Number: 1295713147
Provider Enumeration Date: 01/01/2006
Last Update Date: 04/09/2010

Medicare PECOS Information:

PECOS PAC ID: 2163460460
Enrollment ID: I20050418001179

Medical Identifiers

Medical identifiers for Dr Terry Lee Croasdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295713147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C43012 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doctors Hospital Of Manteca	Manteca, CA	Hospital
Memorial Medical Center	Modesto, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Choice Physician Partners	0941465322	195

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Terry Lee Croasdale allows following entities to bill medicare on his behalf.

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Terry Lee Croasdale is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Terry Lee Croasdale, MD 1262 E North St, Manteca, CA 95336-4962 Ph: (209) 823-7646	Dr Terry Lee Croasdale, MD 1262 E North St, Manteca, CA 95336-4962 Ph: (209) 823-7646

Reviews and Comments

Internal Medicine Doctors in Manteca, CA

Dr. Puneet Dhillon Grewal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Norman Dr Ste 3, Manteca, CA 95336 Phone: 209-944-5750 Fax: 206-464-2684
Vinisha Noti, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700
Karen A. Reardon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1079 Eucalyptus Street, Ste A, Manteca, CA 95337 Phone: 209-284-4561 Fax: 209-284-4562
Dr. Abdul Waheed Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1144 Norman Dr, Suite 205, Manteca, CA 95336 Phone: 209-824-1230 Fax: 209-823-2806
Dr. Glenmore Lasam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Norman Dr Ste 3, Manteca, CA 95336 Phone: 209-824-1555 Fax: 209-464-2684
Lisa Michelle Gitthens Moses, RRT Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-824-5086
Eh Raymond Mu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000

Dr Terry Lee Croasdale, MD - Medicare Internal Medicine in Manteca, CA