| Crystal D Pham, CRNA | |
|
2000 S Palestine St, Athens, TX 75751-5610 | |
| (903) 677-1000 | |
| (903) 677-5586 |
| Full Name | Crystal D Pham |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 2000 S Palestine St, Athens, Texas |
| 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 |
|---|---|---|---|
| 1336447234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP120049 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 703034 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mother Frances Hospital Regional Health Care Center | 9234025636 | 111 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal D Pham, CRNA Po Box 2127, Athens, TX 75751-7127 Ph: (903) 677-1000 | Crystal D Pham, CRNA 2000 S Palestine St, Athens, TX 75751-5610 Ph: (903) 677-1000 |
Timothy Earl Adair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Pamela Gail Frederick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Ricardo B Eversley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202 Fax: 903-677-5586 | |
Perry A Rathbun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-1694 | |
Burton Saucier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202 | |
Mark Gregory Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Palestine St, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586 | |
Ms. Glory Kendi Gituma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-1186 |