Ron Christian Cheng Crisostomo, | |
9306 Bennoel Ct, Elk Grove, CA 95758-7620 | |
(501) 838-9179 | |
Not Available |
Full Name | Ron Christian Cheng Crisostomo |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 9306 Bennoel Ct, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194454900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95020601 (California) | Primary |
Entity Name | Mark Twain Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
Mailing Address | Practice Location Address |
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Ron Christian Cheng Crisostomo, 9306 Bennoel Ct, Elk Grove, CA 95758-7620 Ph: () - | Ron Christian Cheng Crisostomo, 9306 Bennoel Ct, Elk Grove, CA 95758-7620 Ph: (501) 838-9179 |
Zenaida J Pablo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9098 Laguna Main St, Suite 6, Elk Grove, CA 95758 Phone: 916-691-6780 | |
Mary P Manu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6017 Travo Way, Elk Grove, CA 95757 Phone: 916-479-9007 Fax: 916-479-9007 | |
Mrs. Mia Abigail Dalag Mateo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5601 Claudied Way, Elk Grove, CA 95757 Phone: 916-582-4010 | |
Navjot Kaur Dhillon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9394 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-691-8500 Fax: 916-691-8589 | |
Tabitha L Mason, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8125 Sheldon Rd #103, Elk Grove, CA 95758 Phone: 661-433-9133 | |
Wally Zarate, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10372 Via Cinta Ct, Elk Grove, CA 95757 Phone: 916-812-0800 | |
Mary Margaret Carter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5300 |