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

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



Healthcare Provider's Profile

Full NameKeith Robert Crandall
GenderMale
SpecialityPodiatry
Experience14 Years
Location1605 Stafford Dr, Tyler, Texas
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1104125780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery BN6420119-057356 (Ohio)Secondary
213ES0103XPodiatrist - 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 NameEast Texas Foot And Ankle Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538562038
PECOS PAC ID: 2062734916
Enrollment ID: O20141203000917

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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 AddressPractice 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

News Archive

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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

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