Mr Jeffrey Paul Christy Ii, is a medicare enrolled "Physician Assistant" physician in Decatur, Illinois. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Prairie Cardiovascular Consultants Ltd and his current practice location is
1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 422-6100.
Mr Jeffrey Paul Christy Ii is licensed to practice in Illinois (license number 085.008485) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649802661.
Physician's Profile
| Full Name | Mr Jeffrey Paul Christy Ii |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jeffrey Paul Christy Ii graduated from medical school in 2021
NPI Data:
- NPI Number: 1649802661
- Provider Enumeration Date: 02/07/2020
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870990617
- Enrollment ID: I20210922000472
Medical Identifiers
Medical identifiers for Mr Jeffrey Paul Christy Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649802661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | 085.008485 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085.008485 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prairie Cardiovascular Consultants Ltd | 3173435880 | 85 |
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. Mr Jeffrey Paul Christy Ii 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 |
|---|
Mr Jeffrey Paul Christy Ii,
1800 E Lake Shore Dr,
Decatur, IL 62521-3810
Ph: (217) 422-6100 | Mr Jeffrey Paul Christy Ii,
1800 E Lake Shore Dr,
Decatur, IL 62521-3810
Ph: (217) 422-6100 |
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