| Crystal D Faudere, DO | |
|
700 W Central Ave, Suite 205, El Dorado, KS 67042-2184 | |
| (316) 321-2010 | |
| (316) 321-8871 |
| Full Name | Crystal D Faudere |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 700 W Central Ave, El Dorado, Kansas |
| 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 |
|---|---|---|---|
| 1083685291 | NPI | - | NPPES |
| 200331140A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 530512 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Susan B Allen Mem Hospital Hha | El dorado, KS | Home health agency |
| Interim Healthcare Of Wichita Inc (hospice) | Wichita, KS | Hospice |
| Susan B Allen Memorial Hospital | El dorado, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susan B Allen Memorial Hospital | 7719898980 | 22 |
| El Dorado Clinic, P.a. | 7911944897 | 5 |
| Entity Name | Susan B Allen Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164554820 PECOS PAC ID: 7719898980 Enrollment ID: O20040324001452 |
| Entity Name | El Dorado Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770559767 PECOS PAC ID: 7911944897 Enrollment ID: O20050412000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal D Faudere, DO 700 W Central Ave, Suite 205, El Dorado, KS 67042-2184 Ph: (316) 321-2010 | Crystal D Faudere, DO 700 W Central Ave, Suite 205, El Dorado, KS 67042-2184 Ph: (316) 321-2010 |
Dr. Christina Elizabeth Gonzalez, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 W Central Ave, Suite 200, El Dorado, KS 67042 Phone: 316-320-9191 Fax: 316-320-2220 | |
Cathy N Cooper, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 W Central Ave, Ste 205, El Dorado, KS 67042 Phone: 316-321-2010 Fax: 316-321-8871 | |
Diane D Nightengale, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Central Ave, Ste 205, El Dorado, KS 67042 Phone: 316-321-2010 Fax: 316-321-8871 | |
Dr. Ronald Mark Varner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Central Ave, Suite 207, El Dorado, KS 67042 Phone: 316-320-9900 Fax: 316-320-7301 | |
Jason R Williams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Central Ave, Suite 206, El Dorado, KS 67042 Phone: 316-320-3100 Fax: 316-321-2188 |