Christina M Ide, PA is a medicare enrolled "Physician Assistant - Medical" physician in Charlottesville, Virginia. Her current practice location is
1240 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-9333.
Christina M Ide is licensed to practice in Virginia (license number 0110003111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376718841.
Physician's Profile
Full Name | Christina M Ide |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1240 Lee St, Charlottesville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376718841
- Provider Enumeration Date: 04/25/2008
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678611100
- Enrollment ID: I20091103000631
Medical Identifiers
Medical identifiers for Christina M Ide such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376718841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | 0110003111 (Virginia) | Secondary |
363AM0700X | Physician Assistant - Medical | 0110003111 (Virginia) | Primary |
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. Christina M Ide 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 |
Christina M Ide, PA Po Box 749112, Atlanta, GA 30374-9112 Ph: () - | Christina M Ide, PA 1240 Lee St, Charlottesville, VA 22908-2350 Ph: (434) 924-9333 |
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