Thomas Floyd Crais Jr.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Hailey, ID
NPI 1073668042 · NPPES record last updated Jan 20, 2010
Key facts
- NPI
- 1073668042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- M-8082 (ID)
- Practice address
- 315 S River St
Hailey, ID 83333-8426 - Phone
- (208) 788-7700
- Fax
- (208) 788-3100
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Boston University School of Medicine, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
315 S River St
Hailey, ID 83333-8426
Phone (208) 788-7700
613 N River St
Hailey, ID 83333-8438
Phone (208) 928-7477
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080609000763 | ID | Practitioner - Plastic and Reconstructive Surgery |
3971673575 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10963 | LA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Skin LLC | Current |
Accepting new patients | |
| Hyperbaric Centers of Idaho LLC | Current |
Accepting new patients |
Locations
315 S River St
Hailey, ID 83333
Phone (208) 788-1880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | M-8082 | ID | Yes |
Addresses
Primary practice location
315 S River St
Hailey, ID 83333-8426
Mailing address
PO Box 2741
Hailey, ID 83333-2741
Phone (208) 788-7700
Other providers in Hailey, ID
- Catalpa Tree Counseling
- Erik Kevin Christensen
- Beth Ann Citron
- Jennifer M Cook
- Susan Gayle Cooper
- Derek Dains
- Dan Parke PC
- Thomas Deantonio
- Stephanie A Dennis Blair
- Kathleen Diepenbrock
All providers in Hailey, ID · Plastic and Reconstructive Surgery Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.