Christopher Villarreal, PA is a medicare enrolled "Physician Assistant - Medical" in Antlers, Oklahoma. His current practice location is
510 E Main St, Antlers, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 298-3341.
Christopher Villarreal is licensed to practice in Oklahoma (license number 1691888) 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 1952393381.
Provider's Profile
| Full Name | Christopher Villarreal |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 510 E Main St, Antlers, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952393381
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 10/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 8325020985
- Enrollment ID: I20040607000493
Medical Identifiers
Medical identifiers for Christopher Villarreal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952393381 | NPI | - | NPPES |
| 100159270A | Medicaid | OK | |
| 1691888 | Other | OK | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 1691888 (Oklahoma) | Primary |
| 363A00000X | Physician Assistant | PA05868 (Texas) | Secondary |
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 Villarreal 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 Villarreal, PA
Po Box 518,
Antlers, OK 74523-0518
Ph: (580) 298-3341 | Christopher Villarreal, PA
510 E Main St,
Antlers, OK 74523-3262
Ph: (580) 298-3341 |
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