Christine E Cork, PA-C CAQ PSYCH is a medicare enrolled "Physician Assistant" physician in Longmont, Colorado. Her current practice location is
635 Gooseberry Dr Unit 1905, Longmont, Colorado. You can reach out to her office (for appointments etc.) via phone at
(678) 697-9665.
Christine E Cork is licensed to practice in Colorado (license number PA.0005295) 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 1811403363.
Physician's Profile
Full Name | Christine E Cork |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 635 Gooseberry Dr Unit 1905, Longmont, Colorado |
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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: 1811403363
- Provider Enumeration Date: 12/20/2017
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375805823
- Enrollment ID: I20180803001675
Medical Identifiers
Medical identifiers for Christine E Cork such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811403363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | PA.0005295 (Colorado) | Secondary |
363A00000X | Physician Assistant | PA.0005295 (Colorado) | 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. Christine E Cork 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 |
Christine E Cork, PA-C CAQ PSYCH 635 Gooseberry Dr Unit 1905, Longmont, CO 80503-6457 Ph: (678) 697-9665 | Christine E Cork, PA-C CAQ PSYCH 635 Gooseberry Dr Unit 1905, Longmont, CO 80503-6457 Ph: (678) 697-9665 |
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