Physician Compare National (NPI:1659383545)

HEALTHCARE PROVIDER: REBECCA LEE CROUCH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659383545
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436123205
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040826000066
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROUCH
	Individual professional last name
Provider First Name	REBECCA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	166 BEECH SPRINGS RD
	Group Practice or individual's line 1 address
City	JONESBORO
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	712512014
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3182593668
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	191317
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JACKSON PARISH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190090
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WINN PARISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M