| Dr Laura Ann Crandall, DO | |
|
1167 Fortune Blvd, Shiloh, IL 62269-7377 | |
| (618) 207-6900 | |
| (618) 207-6901 |
| Full Name | Dr Laura Ann Crandall |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 1167 Fortune Blvd, Shiloh, Illinois |
| 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 |
|---|---|---|---|
| 1477767101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-1380876 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Hospice Of Greater St Louis | Collinsville, IL | Hospice |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Memorial Hospital | Belleville, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rishi N. Sud, Md Pc | 7618350448 | 7 |
| Entity Name | Rishi N. Sud, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780314781 PECOS PAC ID: 7618350448 Enrollment ID: O20220811002211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Ann Crandall, DO Po Box 419059, Saint Louis, MO 63141-9059 Ph: (618) 207-6900 | Dr Laura Ann Crandall, DO 1167 Fortune Blvd, Shiloh, IL 62269-7377 Ph: (618) 207-6900 |
Dr. Brett Howard Herzog, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. John L Visconti, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Alfred O Greco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Theodore Seth Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 800-647-2098 Fax: 314-362-3192 | |
Dr. Muhammad Farooq Asghar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Cross St Ste 2114, Shiloh, IL 62269 Phone: 618-233-2220 Fax: 618-233-2555 | |
Jennifer Lynn Brenneman Neville, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St Ste 250, Shiloh, IL 62269 Phone: 618-236-8000 |