Christina C Coughlin, PA is a medicare enrolled "Physician Assistant - Medical" in N Syracuse, New York. Her current practice location is
5496 E Taft Rd, N Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 552-6700.
Christina C Coughlin is licensed to practice in New York (license number 007925-1) 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 1942259395.
Provider's Profile
Full Name | Christina C Coughlin |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 5496 E Taft Rd, N Syracuse, New York |
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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: 1942259395
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 11/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941217566
- Enrollment ID: I20060307000523
Medical Identifiers
Medical identifiers for Christina C Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942259395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 007925-1 (New York) | 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 C Coughlin 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 C Coughlin, PA 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 703-3480 | Christina C Coughlin, PA 5496 E Taft Rd, N Syracuse, NY 13212-3784 Ph: (315) 552-6700 |
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