Ethan Crider, | |
1 Hospital Dr, Columbia, MO 65212-1000 | |
(573) 884-9066 | |
(573) 884-3037 |
Full Name | Ethan Crider |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 1 Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326498437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2016017341 (Missouri) | Secondary |
207W00000X | Ophthalmology | 2016017341 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctors Eye Clinic, Inc | 8921056482 | 4 |
Entity Name | Doctors Eye Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043313588 PECOS PAC ID: 8921056482 Enrollment ID: O20050111000678 |
Mailing Address | Practice Location Address |
---|---|
Ethan Crider, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 884-1606 | Ethan Crider, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 884-9066 |
Mohannad Al-samarraie, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3215 Wingate Ct, Suite 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Vaishnavi Balendiran, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-3937 Fax: 573-884-5575 | |
Dr. Jella Angela An, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-1506 Fax: 573-884-5575 | |
Maggie A Cardonell, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Court, Ste 102, Columbia, MO 65201 Phone: 573-882-8920 Fax: 573-884-4868 | |
Dr. Tricia Ann Fernandez, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Maxwell James Court, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3215 Wingate Ct Ste 102, Columbia, MO 65201 Phone: 573-884-3937 Fax: 573-884-4868 | |
Dr. Kathy J Lentz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Mason Eye Institute University Of Missouri, 1 Hospital Drive, Columbia, MO 65212 Phone: 573-882-1027 |