Paul Chanmugam Crossette, MD | |
1055 Saxon Blvd, Orange City, FL 32763-8468 | |
(386) 917-5025 | |
Not Available |
Full Name | Paul Chanmugam Crossette |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1055 Saxon Blvd, Orange City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962533257 | NPI | - | NPPES |
277727400 | Medicaid | FL | |
93172 | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME86634 (Florida) | Primary |
Entity Name | Rosebud Indian Health Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Mailing Address | Practice Location Address |
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Paul Chanmugam Crossette, MD Po Box 9430, Daytona Beach, FL 32120-9430 Ph: () - | Paul Chanmugam Crossette, MD 1055 Saxon Blvd, Orange City, FL 32763-8468 Ph: (386) 917-5025 |
Charles Daniel Duva, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Gerard Joseph Newcomer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Amy Sue Kelley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Nancy Sue Tucker, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Dr. Stephen Senne Knight, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Elizabeth Jean Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-274-7800 Fax: 386-274-7801 | |
Judy Jennifer Roberts, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 |