| Kelli Lynn Crabtree-wilson, MD | |
|
1130 W 4th St Ste 3204, Lawrence, KS 66044-1345 | |
| (785) 505-5815 | |
| (785) 505-5278 |
| Full Name | Kelli Lynn Crabtree-wilson |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 16 Years |
| Location | 1130 W 4th St Ste 3204, Lawrence, Kansas |
| 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 |
|---|---|---|---|
| 1144531161 | NPI | - | NPPES |
| 201138420A | Medicaid | KS | |
| 30004160880001 | Medicaid | KS | |
| 068002397 | Other | KS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 04-39102 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence Memorial Hospital | Lawrence, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence Physicians Llc | 1951623834 | 189 |
| Entity Name | Cotton O'neil Clinic Revocable Trust |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674 |
| Entity Name | Lawrence Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607090 PECOS PAC ID: 1951623834 Enrollment ID: O20141203002058 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Lynn Crabtree-wilson, MD 325 Maine Street, Mso Library, Lawrence, KS 66044 Ph: (785) 505-2988 | Kelli Lynn Crabtree-wilson, MD 1130 W 4th St Ste 3204, Lawrence, KS 66044-1345 Ph: (785) 505-5815 |
Matthew Aaron Rendel, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1130 W 4th St Ste 3204, Lawrence, KS 66044 Phone: 785-505-5815 Fax: 785-505-5278 | |
David Patrick Fritz, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1130 W 4th St Ste 3204, Lawrence, KS 66044 Phone: 785-505-5815 Fax: 785-505-5278 |