Dr Crystal Vaughn Manse, MD - Medicare Internal Medicine in O Fallon, IL

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Dr Crystal Vaughn Manse, MD is a medicare enrolled "Internal Medicine" physician in O Fallon, Illinois. Her current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5480.

Dr Crystal Vaughn Manse is licensed to practice in Illinois (license number 036139867) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366702870.

Contact Information

Dr Crystal Vaughn Manse, MD
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284
(618) 233-5480
(618) 222-4792

Map and Direction




Physician's Profile

Full NameDr Crystal Vaughn Manse
GenderFemale
SpecialityInternal Medicine
Location3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366702870
  • Provider Enumeration Date: 05/18/2012
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618192428
  • Enrollment ID: I20160906000126

Medical Identifiers

Medical identifiers for Dr Crystal Vaughn Manse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366702870NPI-NPPES
1366702870MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0101255760 (Virginia)Secondary
208M00000XHospitalist 036139867 (Illinois)Secondary
207R00000XInternal Medicine 036139867 (Illinois)Primary

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. Dr Crystal Vaughn Manse allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609813500
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641
Entity NameCep America-illinois Hospitalists, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841613403
PECOS PAC ID: 3274765904
Enrollment ID: O20140411001788
Entity NameCep America - Illinois Snf Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073069415
PECOS PAC ID: 8022306737
Enrollment ID: O20161012002933

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. Dr Crystal Vaughn Manse 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 AddressPractice Location Address
Dr Crystal Vaughn Manse, MD
3 Saint Elizabeth Blvd,
O Fallon, IL 62269-1281

Ph: (618) 234-2120		Dr Crystal Vaughn Manse, MD
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284

Ph: (618) 233-5480

Reviews and Comments


Internal Medicine Doctors in O Fallon, IL

Thomas B. Cahill Jr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Regina Y Chiu, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Lori Beth Helmers, APRN
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Dr. Scott Benjamin Marrus, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Vinaya Mulkareddy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-769-0777
Isaac Tran, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-234-2120    
Muhammad Adil Sheikh, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3 Saint Elizabeth Blvd Ste 1800, O Fallon, IL 62269
Phone: 618-233-6044    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.