Keith Robert Crandall, DPM in Tyler, TX - Medicare Podiatry Provider

Keith Robert Crandall, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tyler, Texas. He went to Kent State University College Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. His current practice location is 1605 Stafford Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 941-9247.

Keith Robert Crandall is licensed to practice in Texas (license number 2066) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104125780.

Contact Information

	Keith Robert Crandall, DPM
	1605 Stafford Dr, Tyler, TX 75703-0839
	(903) 941-9247
	(888) 503-2519

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Robert Crandall
Gender	Male
Speciality	Podiatry
Experience	14 Years
Location	1605 Stafford Dr, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Robert Crandall attended and graduated from Kent State University College Of Podiatric Medicine in 2010

NPI Data:

NPI Number: 1104125780
Provider Enumeration Date: 03/21/2011
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9032352661
Enrollment ID: I20130830000163

Medical Identifiers

Medical identifiers for Keith Robert Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104125780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	BN6420119-057356 (Ohio)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	2066 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Robert Crandall allows following entities to bill medicare on his behalf.

Provider Name	East Texas Foot And Ankle Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538562038 PECOS PAC ID: 2062734916 Enrollment ID: O20141203000917

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Robert Crandall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Robert Crandall, DPM 1605 Stafford Dr, Tyler, TX 75703-0839 Ph: (903) 941-9247	Keith Robert Crandall, DPM 1605 Stafford Dr, Tyler, TX 75703-0839 Ph: (903) 941-9247

Reviews and Comments

Podiatrist in Tyler, TX

David A. Andreone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7826
Thomas F Mccloskey Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1318 Clinic Dr, Tyler, TX 75701 Phone: 903-597-9622 Fax: 903-597-1210
Foot Clinic Of East Texas Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1828 Ese Loop323 Ste 111, Tyler, TX 75701 Phone: 903-593-0987 Fax: 903-592-3309
Dr. Brandon E. Crim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 417 S Saunders Ave, Tyler, TX 75702 Phone: 903-596-9173
David A. Andreone Dpm Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 921 Shiloh Road, Ste C110, Tyler, TX 75703 Phone: 903-595-2858 Fax: 903-595-6970
East Texas Podiatry Associates, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1028 E Idel, Suite A, Tyler, TX 75701 Phone: 903-593-1749 Fax: 903-593-1487

Keith Robert Crandall, DPM - Medicare Podiatrist in Tyler, TX