Crystal Fame, DO in Santa Ana, CA - Medicare Family Practice

Crystal Fame, DO is a medicare enrolled "Family Medicine" physician in Santa Ana, California. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is 2212 E 4th St, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (714) 618-9540.

Crystal Fame is licensed to practice in California (license number 20A22816) 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 1588246284.

Contact Information

	Crystal Fame, DO
	2212 E 4th St, Santa Ana, CA 92705-3870
	(714) 618-9540
	Not Available

Map and Direction

Physician's Profile

Full Name	Crystal Fame
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	2212 E 4th St, Santa Ana, California
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:

Crystal Fame attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2021

NPI Data:

NPI Number: 1588246284
Provider Enumeration Date: 04/22/2021
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5294276598
Enrollment ID: I20240925004462

Medical Identifiers

Medical identifiers for Crystal Fame such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588246284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A22816 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Orange, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1329

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. Crystal Fame allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Crystal Fame 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
Crystal Fame, DO 2212 E 4th St, Santa Ana, CA 92705-3870 Ph: (714) 618-9540	Crystal Fame, DO 2212 E 4th St, Santa Ana, CA 92705-3870 Ph: (714) 618-9540

Reviews and Comments

Family Medicine Doctors in Santa Ana, CA

Dr. Rhett Mark Bartolome, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, Santa Ana, CA 92705 Phone: 714-967-4675
Antonio Carbayo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1911 N Broadway, Santa Ana, CA 92706 Phone: 714-667-6900 Fax: 714-667-6116
Dr. Darrel E Hopkins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 N. Tustin Ave, Suite 200, Santa Ana, CA 92705 Phone: 714-689-9061 Fax: 714-689-9064
Dr. Luis Manuel Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E 4th St, 2nd Floor, Santa Ana, CA 92705 Phone: 714-223-4589 Fax: 714-967-4575
Dr. Judith Miriam Friedland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Santa Ana, CA 92706 Phone: 714-834-8017
Dr. John Mark Geiss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707 Phone: 855-434-7763 Fax: 949-281-5550
Michael Davis, Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 S Bristol St Ste 110, Santa Ana, CA 92704 Phone: 888-499-9303

Crystal Fame, DO - Medicare Family Practice in Santa Ana, CA