Dr Crystal O Slade, MD | |
1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | |
(770) 991-2200 | |
(770) 991-1341 |
Full Name | Dr Crystal O Slade |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 25 Years |
Location | 1279 Highway 54 W, Fayetteville, Georgia |
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 |
---|---|---|---|
1154332542 | NPI | - | NPPES |
671094050A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 053881 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Crescent Women's Healthcare | 4688565716 | 9 |
Entity Name | Southern Crescent Women's Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427061589 PECOS PAC ID: 4688565716 Enrollment ID: O20040320000186 |
Mailing Address | Practice Location Address |
---|---|
Dr Crystal O Slade, MD 1279 Highway 54 West, Suite 220, Fayetteville, GA 30214-4552 Ph: (770) 991-2200 | Dr Crystal O Slade, MD 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 Ph: (770) 991-2200 |
Tanya Denise Beckford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-716-8672 | |
Dr. Thomas K Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 125 Astaire Mnr, Fayetteville, GA 30214 Phone: 404-661-8858 | |
Matthew M Ralsten, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 West, Suite 3200, Fayetteville, GA 30214 Phone: 770-632-9900 Fax: 770-632-9997 | |
Dr. Benita L Bonser, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341 | |
Dr. Judonn Theophilous Adams, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 Carnegie Pl, Suite 104, Fayetteville, GA 30214 Phone: 770-460-5667 Fax: 770-460-6710 | |
Dr. Edwin Bello, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341 |