Dr Guillermo V Crisologo, MD is a
Surgery physician based in Port Clinton, Ohio. Dr Guillermo V Crisologo is licensed to practice in Ohio (license number 35-032803) and his current practice location is 620 Jefferson St, Port Clinton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 734-3116.
NPI number for Dr Guillermo V Crisologo is 1821106295 and his current mailing address is 620 Jefferson St, Port Clinton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821106295.
Physician's Profile
Full Name | Dr Guillermo V Crisologo |
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Gender | Male |
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Speciality | Surgery |
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Location | 620 Jefferson St, Port Clinton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821106295
- Provider Enumeration Date: 08/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Guillermo V Crisologo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821106295 | NPI | - | NPPES |
25500 | Other | OH | ANTHEM BCBS OF OHIO |
0157397 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 35-032803 (Ohio) | Primary |
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 Guillermo V Crisologo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Guillermo V Crisologo, MD 620 Jefferson St, Port Clinton, OH 43452-2413 Ph: (419) 734-3116 | Dr Guillermo V Crisologo, MD 620 Jefferson St, Port Clinton, OH 43452-2413 Ph: (419) 734-3116 |
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