| Crystal Tao Perkins, MD | |
| 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 | |
| (407) 200-2355 | |
| (407) 200-4947 | 
| Full Name | Crystal Tao Perkins | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | |
| Wells Yang, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 | |
| 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 |