Trevor Crabtree (NPI# 1770575284, PAC ID# 3577678184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1770575284 |
| PAC ID by PECOS | 3577678184 |
| Professional Enrollment ID | I20110214000907 |
| Full Name | Trevor Crabtree |
| Organization Legal Name | PAUL C JACOBS TREVOR CRABTREE PTR |
| Address |
223 N Park Ave Herrin IL 62948-3149 |
| Phone Number | 6189426887 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608995865 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 223 N Park Ave, Herrin, IL 62948-3149 | 6189426887 | PAUL C JACOBS TREVOR CRABTREE PTR |
| 1508 N Sioux Dr, Marion, IL 62959-5209 | 6189938787 | PAUL C JACOBS TREVOR CRABTREE PTR |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 92% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 92% |
| Organization Legal Name | PAUL C JACOBS TREVOR CRABTREE PTR |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Jacobs | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 1001 Beadle Dr, Suite 40, Carbondale, IL 62901-1150 |
| Celisha Merriman | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 1001 Beadle Dr, Suite 40, Carbondale, IL 62901-1150 |
| Street Address |
223 N PARK AVE |
| City | HERRIN |
| State | IL |
| Zip | 62948-3149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Kelly D Chullen | Chiropractic | 120 E Herrin St, Total Health Chiropractic, Herrin, IL 62948-3163 | |
| Nova M Griffith | Psychologist, Clinical | 121 N 13th St, Suite 2, Herrin, IL 62948-3255 | |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Sahitya Settypalli | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| William Fix | Optometry | Marion Eye Centers Ltd | 321 S Park Ave, Herrin, IL 62948-3603 |
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Nikita Chevalier | Urology | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 2, Herrin, IL 62948-3612 |
| Benjamin P Roose | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Brett Michael Dempsey | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Find all physicians in zip 62948 | |||
| City | HERRIN |
| Zip Code | 62948 |
| Specialty | OPTOMETRY |
| City + Specialty | HERRIN + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.