| Dr Crystal J Kleiber Balderrama, MD | |
|
420 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-8340 | |
| (414) 805-6851 |
| Full Name | Dr Crystal J Kleiber Balderrama |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 15 Years |
| Location | 420 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144545559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 56510 (Wisconsin) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 56510 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| Ripon Medical Center | Ripon, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal J Kleiber Balderrama, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Dr Crystal J Kleiber Balderrama, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 |
Balvindar S Sareen, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 315-637-7800 Fax: 315-637-7808 | |
Jay R Muller, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913 | |
Dana I Vasquez, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Adam P Karewicz, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Punit Kumar, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Dr. Steven Gregory Meress, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 180 Knights Way, Fond Du Lac, WI 54935 Phone: 920-922-5433 Fax: 920-273-0480 |