Abigail Crisostomo, MD in Rolla, MO - Medicare Family Practice

Abigail Crisostomo, MD is a medicare enrolled "Family Medicine" physician in Rolla, Missouri. She graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 1605 Martin Springs Dr, Ste 210, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 458-6326.

Abigail Crisostomo is licensed to practice in Missouri (license number 2012003234) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720347867.

Contact Information

	Abigail Crisostomo, MD
	1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2931
	(573) 458-6326
	(573) 458-6763

Map and Direction

Physician's Profile

Full Name	Abigail Crisostomo
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	1605 Martin Springs Dr, Rolla, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abigail Crisostomo graduated from medical school in 2003

NPI Data:

NPI Number: 1720347867
Provider Enumeration Date: 05/10/2012
Last Update Date: 12/20/2012

Medicare PECOS Information:

PECOS PAC ID: 2466609623
Enrollment ID: I20120823000732

Medical Identifiers

Medical identifiers for Abigail Crisostomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720347867	NPI	-	NPPES
P01089883	Other	MO	RR MCR
431560263	Other	MO	TRICARE
1720347867	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2012003234 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps Health Homecare	Rolla, MO	Home health agency
Kindred At Home	Rolla, MO	Home health agency
Mercy Hospital Lebanon	Lebanon, MO	Hospital
Phelps County Regional Medical Center	Rolla, MO	Hospital
Mercy Hospital St Louis	Saint louis, MO	Hospital
Mercy Hospital Washington	Washington, MO	Hospital
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abigail Crisostomo allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abigail Crisostomo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Abigail Crisostomo, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Abigail Crisostomo, MD 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2931 Ph: (573) 458-6326

Reviews and Comments

Family Medicine Doctors in Rolla, MO

Dr. Katie Elizabeth Hern, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401 Phone: 573-458-6350 Fax: 573-458-6764
Dr. Omofolarin Babatunji Fasuyi, M.D, M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401 Phone: 573-458-6326
Dr. Randall G. Dudik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Luther D. Spurlock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Kimberly D. Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 734-262-4075 Fax: 573-426-6723
Dr. Jaehyeon Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr Ste 230, Rolla, MO 65401 Phone: 573-458-6326
Mr. Matthew Timothy Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Laurel Dr, Rolla, MO 65401 Phone: 573-596-1765

Abigail Crisostomo, MD - Medicare Family Practice in Rolla, MO