| Ricardo H Crisostomo, MD | |
|
1 Mercardo St., Ste 100, Durango, CO 81301-7306 | |
| (970) 385-7977 | |
| (970) 385-6727 |
| Full Name | Ricardo H Crisostomo |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 32 Years |
| Location | 1 Mercardo St., Durango, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679533756 | NPI | - | NPPES |
| 272461800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | DR.0067681 (Colorado) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | ME89846 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 103 |
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 462 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo H Crisostomo, MD 1 Mercado St Ste 100, Durango, CO 81301-7306 Ph: (970) 385-7977 | Ricardo H Crisostomo, MD 1 Mercardo St., Ste 100, Durango, CO 81301-7306 Ph: (970) 385-7977 |
Richard A Brown, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Ste 110, Durango, CO 81301 Phone: 970-764-2750 Fax: 970-764-2778 | |
Dr. Richard L Converse Jr., MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 130, Durango, CO 81301 Phone: 970-247-1120 Fax: 970-247-1128 | |
Mr. Stuart B Saslow, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2 Burnett Court, Durango, CO 81301 Phone: 970-385-4022 Fax: 970-385-4337 | |
Dr. Erin Gray Clarkinson, DO Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1199 Main Ave Ste 206, Durango, CO 81301 Phone: 970-422-8147 | |
Dr. Eugenia M Miller, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado Street, Suite 130, Durango, CO 81301 Phone: 970-247-1120 Fax: 970-247-3664 | |
Sarah E. Brown, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-3352 Fax: 970-764-3375 | |
Dr. Steven Christensen, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2 Burnett Ct # 100, Durango, CO 81301 Phone: 970-385-4022 Fax: 970-385-4337 |