| Alyssa Crawford, | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| Not Available |
| Full Name | Alyssa Crawford |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 10 Years |
| Location | 180 S Main St, Canton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407201940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036153212 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 123 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Crawford, 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Alyssa Crawford, 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Erin Kathleen Buckley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8951 | |
Michael J Sammarco, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |