Thomas A Krefft, MD
Individual provider Active NPI Neurology Physician · Lacombe, LA
NPI 1528068327 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1528068327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 015696 (LA)
- Practice address
- 64301 Hwy 434
Lacombe, LA 70445 - Phone
- (985) 882-4500
- Fax
- (985) 882-4501
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20050729000807 | LA | Practitioner - Neurology | 9032147103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015696 | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health System | Current | Accepting new patients | |
| Northlake Neurological Institute LLC | Neurology | Past | Accepting new patients |
Locations
64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909
Interoperability endpoints
- https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 015696 | LA | Yes |
Addresses
Primary practice location
64301 Hwy 434
Lacombe, LA 70445
Mailing address
64301 Hwy 434
Lacombe, LA 70445
Phone (985) 882-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1347426 | Medicaid | LA |
Other providers in Lacombe, LA
- Johnrizk Enterprises LLC
- Jason George Johnson
- JS Health Services
- Bruce P. Kerry
- Jessica Elise Knapp
- Lacombe Dental LLC
- Lacombe Family Pharmacy LLC
- Lacombe Family Pharmacy LLC
- Lindsey Michael Ladd
- Nantawadee Lee
All providers in Lacombe, LA · Neurology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.