Charlene Crockett is a Santa Rosa, California based female Ophthalmologist with 10 years of experience in Ophthalmology. She completed her graduation from Baylor College Of Medicine in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charlene Crockett is 191905 for Ophthalmology in California. Charlene Crockett is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Charlene Crockett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
10+ years
Medical School Attended:
Baylor College Of Medicine
Graduation Year:
2014
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3925 Old Redwood Hwy, Santa Rosa, California, 95403-1719
Phone:
707-393-4033
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6002121217
Enrollment ID:
I20150818003913
NPI Number:
1720379316
NPI Enumeration Date:
29 Apr, 2011
NPI Last Update On:
18 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlene Crockett are as mentioned below.
License Number
Specialization
State
Status
191905
Ophthalmology
California
Primary
MD459666
Ophthalmology
Pennsylvania
Secondary
75772
Ophthalmology
Georgia
Secondary
P9827
Ophthalmology
Texas
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Charlene Crockett has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Baylor College Of Medicine (8022243971)
779
Other Medical Identifiers:
Other legacy medical identifiers associated with Charlene Crockett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
349043503
Medicaid
Texas
349043505
Medicaid
Texas
349043504
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3925 Old Redwood Hwy, Santa Rosa, California
Zip:
95403-1719
Phone Number:
--
Fax Number:
--
Patients can reach Charlene Crockett at 3925 Old Redwood Hwy, Santa Rosa, California or can call to book an appointment on 707-393-4033. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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