| Dr Charles D Crum, MD | |
|
627 Turtle Creek Dr, Tyler, TX 75701-1832 | |
| (903) 593-2539 | |
| (903) 593-0559 |
| Full Name | Dr Charles D Crum |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 627 Turtle Creek Dr, Tyler, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487828596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | N4997 (Texas) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 81062 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stockton Diagnostic Imaging | 0749386894 | 33 |
| Arizona Diagnostic Radiology Group Llc | 1658796859 | 53 |
| Fresno Imaging Center | 2466553128 | 68 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Diagnostic Radiological Imaging | 4981680220 | 39 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Kern Radiology Medical Group Inc | 7214826460 | 76 |
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Radnet Medical Imaging-san Francisco | 9830283761 | 10 |
| Kern Radiology Medical Group Inc | 7214826460 | 76 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
| Entity Name | Tyler Radiology Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750341277 PECOS PAC ID: 9739149931 Enrollment ID: O20041012001455 |
| Entity Name | Innovative Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568400810 PECOS PAC ID: 2668432782 Enrollment ID: O20041013000920 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20150917001294 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20150917002629 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181008001228 |
| Entity Name | Arizona Diagnostic Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336757699 PECOS PAC ID: 1658796859 Enrollment ID: O20221213001235 |
| Entity Name | Kern Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720023997 PECOS PAC ID: 7214826460 Enrollment ID: O20230225000421 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20231205003554 |
| Entity Name | Modesto Advanced Diagnostic Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730133893 PECOS PAC ID: 1850336736 Enrollment ID: O20240207002303 |
| Entity Name | Diagnostic Radiological Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931910 PECOS PAC ID: 4981680220 Enrollment ID: O20240208000063 |
| Entity Name | Stockton Diagnostic Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356538201 PECOS PAC ID: 0749386894 Enrollment ID: O20241206002179 |
| Entity Name | Santa Rosa Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689890444 PECOS PAC ID: 2567408859 Enrollment ID: O20241216000995 |
| Entity Name | Radnet Medical Imaging - San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548345382 PECOS PAC ID: 9830283761 Enrollment ID: O20250327001873 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles D Crum, MD 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: (817) 321-0404 | Dr Charles D Crum, MD 627 Turtle Creek Dr, Tyler, TX 75701-1832 Ph: (903) 593-2539 |
R. Kent Walker, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Prakash Gajera, Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 817-321-0404 | |
Timothy J Leihgeber, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 | |
Alfred Llave, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Kurt Stephen Reuland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Michael David Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Melinda Faye Coker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 650, Tyler, TX 75702 Phone: 903-606-5300 |