| Andrew Charles Crider, AA | |
|
460 Lanier Rd, Madison, AL 35758-1866 | |
| (256) 319-9000 | |
| Not Available |
| Full Name | Andrew Charles Crider |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 32 Years |
| Location | 460 Lanier Rd, Madison, Alabama |
| 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 |
|---|---|---|---|
| 1891750584 | NPI | - | NPPES |
| 051555185 | Medicaid | AL | |
| 51524120 | Other | AL | BCBS ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA813 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crestwood Medical Center | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physynergy Llc | 6204081292 | 47 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Charles Crider, AA 2006 Franklin St Se, Suite 301, Huntsville, AL 35801-4551 Ph: (256) 539-9471 | Andrew Charles Crider, AA 460 Lanier Rd, Madison, AL 35758-1866 Ph: (256) 319-9000 |
Mark Isaac Copeland, A.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Sydney Grace Johnson, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 460 Lanier Rd Ste 100, Madison, AL 35758 Phone: 256-319-9000 | |
Michael Hamilton Fleming, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 |