Crystal Tao Perkins, MD | |
2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 | |
(407) 200-2355 | |
(407) 200-4947 |
Full Name | Crystal Tao Perkins |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 2600 Westhall Ln Ste 4, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316400260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 1017992 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME175305 (Florida) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Crystal Tao Perkins, MD 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 Ph: (407) 200-2355 | Crystal Tao Perkins, MD 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 Ph: (407) 200-2355 |
Michele Nicole Edison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Dr. Shanchita Ghosh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 407-303-8178 | |
Dr. Connor William Woodward, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Dr. Bhaskar N/a Golla, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Elena Griffin, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947 | |
Dr. Hemesh Dilip Rama, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 386-231-6000 |