Roderick H Crocker Jr, MD | |
300 Mount Auburn St, Ste 519, Cambridge, MA 02138-5600 | |
(617) 547-4400 | |
(617) 576-1076 |
Full Name | Roderick H Crocker Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 42 Years |
Location | 300 Mount Auburn St, Cambridge, Massachusetts |
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 |
---|---|---|---|
1053310367 | NPI | - | NPPES |
3009700 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 55453 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Auburn Hospital | Cambridge, MA | Hospital |
Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atrius Health Inc | 4789588641 | 1130 |
Mt Auburn Professional Services | 6103725031 | 258 |
Entity Name | Atrius Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
Entity Name | Massachusetts Institute Of Technology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346308723 PECOS PAC ID: 5597658666 Enrollment ID: O20040203000789 |
Entity Name | Mt Auburn Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
---|---|
Roderick H Crocker Jr, MD 300 Mount Auburn Street, Suite #519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 | Roderick H Crocker Jr, MD 300 Mount Auburn St, Ste 519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 |
Dr. Maria Alexandra Ordonez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2555 | |
George B Reservitz, M.D. Urology Medicare: Medicare Enrolled Practice Location: 300 Mt. Auburn Street, Suite 519, Suite 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 | |
Louis S Liou, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-3590 | |
James C Ku, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Suite 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 | |
Paul D Lafontaine, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Ste 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 |