Christopher Gantt, PA-C is a medicare enrolled "Physician Assistant" in Etna, Ohio. His current practice location is
10452 Hazelton Etna Rd Sw, Etna, Ohio. You can reach out to his office (for appointments etc.) via phone at
(866) 639-3659.
Christopher Gantt is licensed to practice in Ohio (license number 50.004763RX) 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 1578000220.
Provider's Profile
Full Name | Christopher Gantt |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 10452 Hazelton Etna Rd Sw, Etna, Ohio |
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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: 1578000220
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 05/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092074211
- Enrollment ID: I20180116002726
Medical Identifiers
Medical identifiers for Christopher Gantt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578000220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50.004763RX (Ohio) | 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. Christopher Gantt 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 Gantt, PA-C 10452 Hazelton Etna Rd Sw, Etna, OH 43062-3400 Ph: (668) 639-3659 | Christopher Gantt, PA-C 10452 Hazelton Etna Rd Sw, Etna, OH 43062-3400 Ph: (866) 639-3659 |
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