Dr Crystal Vaughn Manse, MD in O Fallon, IL - Medicare Internal Medicine

Dr Crystal Vaughn Manse, MD is a medicare enrolled "Internal Medicine" physician in O Fallon, Illinois. She went to University Of South Carolina School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Cep America-illinois Hospitalists, Llp and her current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5480.

Dr Crystal Vaughn Manse is licensed to practice in Illinois (license number 036139867) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366702870.

Contact Information

	Dr Crystal Vaughn Manse, MD
	3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284
	(618) 233-5480
	(618) 222-4792

Map and Direction

Physician's Profile

Full Name	Dr Crystal Vaughn Manse
Gender	Female
Speciality	Internal Medicine
Experience	12 Years
Location	3 Saint Elizabeth Blvd Ste 4000, O Fallon, 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.

Medical Education and Training:

Dr Crystal Vaughn Manse attended and graduated from University Of South Carolina School Of Medicine in 2012

NPI Data:

NPI Number: 1366702870
Provider Enumeration Date: 05/18/2012
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7618192428
Enrollment ID: I20160906000126

Medical Identifiers

Medical identifiers for Dr Crystal Vaughn Manse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366702870	NPI	-	NPPES
1366702870	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101255760 (Virginia)	Secondary
208M00000X	Hospitalist	036139867 (Illinois)	Secondary
207R00000X	Internal Medicine	036139867 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Hospital	Breese, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cep America-illinois Hospitalists, Llp	3274765904	111

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Crystal Vaughn Manse allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

Entity Name	Cep America-illinois Hospitalists, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788

Entity Name	Cep America - Illinois Snf Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Crystal Vaughn Manse is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Crystal Vaughn Manse, MD 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 Ph: (618) 234-2120	Dr Crystal Vaughn Manse, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480

Reviews and Comments

Internal Medicine Doctors in O Fallon, IL

Thomas B. Cahill Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218
Regina Y Chiu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218
Lori Beth Helmers, APRN Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218
Dr. Scott Benjamin Marrus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218
Vinaya Mulkareddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-769-0777
Isaac Tran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120
Atul Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218

Dr Crystal Vaughn Manse, MD - Medicare Internal Medicine in O Fallon, IL