Dr Crystal Vaughn Kondowe, MD - Medicare Internal Medicine in Scott Afb, IL

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Dr Crystal Vaughn Kondowe, MD is a medicare enrolled "Internal Medicine" physician in Scott Afb, Illinois. She went to University Of South Carolina School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Cep America-illinois Hospitalists, Llp and her current practice location is 375th Medical Group, 310w Losey St, Scott Afb, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 256-7799.

Dr Crystal Vaughn Kondowe is licensed to practice in Illinois (license number 036139867) 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 1366702870.

Contact Information

Dr Crystal Vaughn Kondowe, MD
375th Medical Group, 310w Losey St,
Scott Afb, IL 62225
(618) 256-7799
Not Available

Map and Direction




Physician's Profile

Full NameDr Crystal Vaughn Kondowe
GenderFemale
SpecialityInternal Medicine
Experience12 Years
Location375th Medical Group, Scott Afb, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Crystal Vaughn Kondowe attended and graduated from University Of South Carolina School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1366702870
  • Provider Enumeration Date: 05/18/2012
  • Last Update Date: 09/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618192428
  • Enrollment ID: I20160906000126

Medical Identifiers

Medical identifiers for Dr Crystal Vaughn Kondowe 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

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Josephs HospitalBreese, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America-illinois Hospitalists, Llp327476590462

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 Kondowe 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: 1013198712
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 Kondowe 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 Kondowe, MD
375th Medical Group, 310 W Losey St,
Scott Air Force Base, IL 62225-5250

Ph: (618) 256-9355		Dr Crystal Vaughn Kondowe, MD
375th Medical Group, 310w Losey St,
Scott Afb, IL 62225

Ph: (618) 256-7799

Reviews and Comments


Internal Medicine Doctors in Scott Afb, IL

Dr. Adam Kirk Derrickson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 W Losey St, Scott Afb, IL 62225
Phone: 618-256-7799    
Kenneth Paul Mcdonnell, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 203 W Losey St, Suite 1624, Scott Afb, IL 62225
Phone: 618-206-2225    
Assy Yacoub, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 W Losey St, Scott Afb, IL 62225
Phone: 618-256-3434    

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.