| Dr Adam Benjamin Crisologo, MD | |
|
1912 Al Highway 157, Cullman, AL 35058-0609 | |
| (256) 737-2682 | |
| (256) 737-2849 |
| Full Name | Dr Adam Benjamin Crisologo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 3 Years |
| Location | 1912 Al Highway 157, Cullman, Alabama |
| 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 |
|---|---|---|---|
| 1023541588 | NPI | - | NPPES |
| 118695400 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cullman Regional Pain Services Llc | 1456694082 | 9 |
| Cullman Regional Anesthesia Services Llc | 2466785712 | 30 |
| Entity Name | Cullman Regional Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326507013 PECOS PAC ID: 1456694082 Enrollment ID: O20190522000608 |
| Entity Name | Cullman Regional Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982163671 PECOS PAC ID: 2466785712 Enrollment ID: O20190531001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adam Benjamin Crisologo, MD 500 S Preston St, Room 305, Louisville, KY 40202-1702 Ph: (502) 852-8696 | Dr Adam Benjamin Crisologo, MD 1912 Al Highway 157, Cullman, AL 35058-0609 Ph: (256) 737-2682 |
Victoria Underwood Clay, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157, Cullman, AL 35058 Phone: 256-735-5560 Fax: 256-801-7364 | |
Peter Albert Crisologo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2637 Fax: 256-734-6257 | |
Gary Keith Morton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2585 | |
James R. Layton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2000 | |
Robin Tate Hall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2638 Fax: 256-734-6257 | |
Kevin Johnson, MD PC Anesthesiology Medicare: Medicare Enrolled Practice Location: 1403 Wall Street, Cullman, AL 35055 Phone: 256-734-9472 Fax: 256-734-9272 |