Dr. Crystal J Gravatte

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Dr. Crystal J Gravatte basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Crystal J Gravatte
Credential :	MD
Gender :	Female

Business Address:

Dr. Crystal J Gravatte address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Emergency Med Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2341
Fax Number :	314-454-4345

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1619219367
NPI Entity Type :	Individual
First Enrolment Date :	20 Mar, 2013
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Crystal J Gravatte participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7113216813
Medicare Enrollment ID :	I20200909002328
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Nevada School Of Medicine
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Crystal J Gravatte accepts medicare insurance.

Group Practice Association:

Dr. Crystal J Gravatte is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Crystal J Gravatte is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002 Ph: 3142731006	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Crystal J Gravatte are as mentioned. Primary taxonomy code for Dr. Crystal J Gravatte, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2020022058	MO
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	2020022058	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Crystal J Gravatte such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200087976	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2644
Fax Number :	314-454-2110

Business Location:

Patients can refer following map for directions to Dr. Crystal J Gravatte practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.