Crystal H Bastin, M.D.
Individual provider Active NPI Family Medicine Physician · South Charleston, WV
NPI 1962453191 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1962453191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20368 (WV)
- Practice address
- 4820 Kentucky St
South Charleston, WV 25309 - Phone
- (304) 720-0390
- Fax
- (304) 720-0391
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- THS Physician Partners Inc
Practice addresses (Care Compare)
4820 Kentucky St
South Charleston, WV 25309-1310
Phone (304) 720-0390
Hospital & facility affiliations
- Mountaineer Homecare
- Adoration Home Health
- Thomas Memorial Hospital
- Charleston Area Medical Center
- Jackson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091112000147 | WV | Practitioner - Family Practice | 0749242428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| THS Physician Partners Inc | Family Medicine | Current |
Accepting new patients |
| National Emergency Services West Virginia Inc | Past | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
4820 Kentucky St
South Charleston, WV 25309
Phone (304) 720-0390
4605 Maccorkle Ave SW
Ofc
South Charleston, WV 25309
Phone (304) 414-4800
11924 Winfield Rd
Winfield, WV 25213
Phone (304) 306-3060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20368 | WV | Yes |
Addresses
Primary practice location
4820 Kentucky St
South Charleston, WV 25309
Mailing address
4605 Maccorkle Ave SW
THS Physician Partners, Inc. - Admin Ofc
South Charleston, WV 25309-1311
Phone (304) 414-4800
Other practice location 1
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Other practice location 2
11924 Winfield Rd
Winfield, WV 25213-7913
Phone (304) 306-3060
Other names
- Crystal Lea Heatherman
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crystal.bastin@thomashealthsystem.direct-ci.com | ||
| Direct Messaging Address | crystal.bastin@thomashealthsystem.direct-ci.com | ||
| Direct Messaging Address | crystal.bastin@thomashealthsystem.direct-ci.com |
Other providers in South Charleston, WV
- Caroline Wesley Barner
- Regina Barnes
- Heath Collin Barnette
- Veronica Barrett
- Bassam N Shamma, M.D., PLLC
- Jeffrey Kent Bates
- Emily H Battle
- Tia Bayes
- Aaron Daniel Bays
- Marleigh Bays
All providers in South Charleston, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.