Christopher Michael Gamboa, MD is a medicare enrolled "Hospitalist" physician in Fairfax, South Carolina. His current practice location is
1787 Allendale Fairfax Hwy, Fairfax, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 632-3311.
Christopher Michael Gamboa is licensed to practice in South Carolina (license number MMD.91160) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083235444.
Physician's Profile
Full Name | Christopher Michael Gamboa |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
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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: 1083235444
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880046796
- Enrollment ID: I20240116004126
Medical Identifiers
Medical identifiers for Christopher Michael Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083235444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | MMD.91160 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher Michael Gamboa allows following entities to bill medicare on his behalf.
Entity Name | Rural Physicians Group-pannu Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20230711001944 |
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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. Christopher Michael Gamboa 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 |
Christopher Michael Gamboa, MD 34 Onyx Ct, St Augustine, FL 32086-0361 Ph: (904) 887-9801 | Christopher Michael Gamboa, MD 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 Ph: (803) 632-3311 |
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