| Crystal M Trabel, | |
|
208 Columbus St, Hicksville, OH 43526-1299 | |
| (419) 542-6692 | |
| Not Available |
| Full Name | Crystal M Trabel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 208 Columbus St, Hicksville, Ohio |
| 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 |
|---|---|---|---|
| 1912480039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71008632A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.023623 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Kosciusko Community Hospital | Warsaw, IN | Hospital |
| Paulding County Hospital | Paulding, OH | Hospital |
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paulding County Hospital Physician Services | 8820983893 | 18 |
| Lutheran Medical Group Llc | 4981751617 | 232 |
| Entity Name | Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090512000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal M Trabel, 208 Columbus St, Hicksville, OH 43526-1299 Ph: (419) 542-6692 | Crystal M Trabel, 208 Columbus St, Hicksville, OH 43526-1299 Ph: (419) 542-6692 |
Mrs. Alisha Dianne Hudson, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 | |
Mrs. Stephanie R Ramey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 |