Percy Vandorn Crocker, MD | |
610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | |
(251) 633-2667 | |
(251) 633-2179 |
Full Name | Percy Vandorn Crocker |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 51 Years |
Location | 610 Providence Park Dr E, Mobile, Alabama |
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 |
---|---|---|---|
1811990765 | NPI | - | NPPES |
000034516 | Medicaid | AL | |
C71188 | Other | AL | HEALTHSPRING PROVIDER # |
4006497 | Other | AL | AETNA PROVIDER # |
51034516 | Other | AL | BLUE CROSS PROVIDER # |
51511130 | Other | AL | BLUE CROSS AL PROV # |
51521765 | Other | AL | BLUE CROSS AL PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 00006625 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usa Health Physician Billing Services Llc | 9931436912 | 277 |
Entity Name | University Of South Alabama |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
Entity Name | Usa Health Physician Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
Mailing Address | Practice Location Address |
---|---|
Percy Vandorn Crocker, MD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 | Percy Vandorn Crocker, MD 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 Ph: (251) 633-2667 |
Tiffany Patterson Baugh, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: University Of South Alabama, 2501 Old Shell Road, Mobile, AL 36607 Phone: 251-341-4094 | |
Ronnie Everett Swain Sr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Frederick M. Silver, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Mastin 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281 | |
James Kent Pitcock, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 | |
Mark Richard Gacek, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 720 Hillcrest Rd Ste A, Mobile, AL 36695 Phone: 251-340-7970 Fax: 866-873-8411 | |
Kent L. Burton, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Wiley Hugh Justice, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688 Phone: 251-445-9378 Fax: 251-445-9377 |