Home » Indiana » 46737 » Ted J. Crisman

Ted J. Crisman (MD)

Ted J. Crisman (MD) is a health care provider specializes in Family Medicine. He is associated with medical group practice LUTHERAN MEDICAL GROUP LLC and is affiliated with 4 hospitals as shown below.

profile-icon Basic Information

Practice Location 401 S Broad St, Ste. B, Fremont, IN 46737-2114, US
Practice Location Phone260-495-9803
Practice Location Fax260-495-1238
GenderMale
Specialty InFamily Medicine
Medical SchoolIndiana University School Of Medicine
Graduation Year1980
NPI ?1437263944
PECOS ID2365443256
Enrollment IDI20080702000007
Entity TypeIndividual
Enumeration Date ? Aug 19, 2006
Last Update Date ? Jan 17, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Ted J. Crisman

SpecialtySpecializationLicenseLicense State
Family Medicine 01030303AIndiana

Medicare-icon Medicare Participation of Ted J. Crisman

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health RecordsYes
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Ted J. Crisman

Medical Group PracticeLutheran Medical Group Llc
Affiliation 1 Cameron Memorial Community Hospital Inc
Affiliation 2 Parkview Noble Hospital
Affiliation 3 Dekalb Health
Affiliation 4 Community Health Center Of Branch County

legacy-id-icon Legacy Provider IDs of Ted J. Crisman

Provider IdIssuer StateIssuer TypeIssuer
4048082OtherAETNA
100225590IndianaMedicaid
000000329797IndianaOtherANTHEM BCBS OF INDIANA
3117175OhioMedicaid