Mid Coast Medical Center Crockett Inc
A Medicare group practice based in Crockett, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3173884152), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3173884152
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 4
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180516001255 | TX | Part A Provider - Rural Health Clinic | 1003303983 |
| O20180515000451 | TX | Part A Provider - Critical Access Hospital | 1114435260 |
| O20180316002045 | TX | Part B Supplier - Clinic/Group Practice | 1487155990 |
| O20180308001447 | TX | Part A Provider - Critical Access Hospital | 1114435260 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Crockett Medical Center, LLC
dba Crockett Medical Center Clinic
- Family Medicine Physician
- Crockett, TX
- NPI 1487155990
-
Mid Coast Medical Center Crockett Inc
dba Crockett Medical Center Clinic
- Rural Health Clinic/Center
- Crockett, TX
- NPI 1003303983
-
Mid Coast Medical Center Crockett Inc
dba Crockett Medical Center
- Critical Access Hospital
- Crockett, TX
- NPI 1114435260
Practice locations
- Crockett, TX5
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (7).
-
Christopher R Haeckler, MD
- Family Medicine Physician
- Crockett, TX
- NPI 1134111263
-
Lora Lynn Holt, FNP
- Family Nurse Practitioner
- Livingston, TX
- NPI 1972060390
-
Richard Joseph Kelly, MD
- Family Medicine Physician
- Crockett, TX
- NPI 1376535419
-
Jeffery D. Kroll, MD
- Urology Physician
- Temple, TX
- NPI 1073509188
-
Robert Anthony Launikitis, MD
- Orthopaedic Surgery Physician
- The Woodlands, TX
- NPI 1629272299
-
Peyton Thompson, MD
- General Practice Physician
- Manor, TX
- NPI 1861439069
-
Robin L. Yue, MD
- Cardiovascular Disease Physician
- El Campo, TX
- NPI 1144315417
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.