Mr Christopher Ray Sundquist, PAC is a
Physician Assistant - Medical based in Athol, Idaho. Mr Christopher Ray Sundquist is licensed to practice in Idaho (license number PA-303) and his current practice location is
6101 W Hwy 54, Suite A, Athol, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 683-0800.
NPI number for Mr Christopher Ray Sundquist is 1366510752 and his current mailing address is Po Box 775, Athol, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366510752.
Provider's Profile
| Full Name | Mr Christopher Ray Sundquist |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 6101 W Hwy 54, Athol, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366510752
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 08/22/2007
Medical Identifiers
Medical identifiers for Mr Christopher Ray Sundquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366510752 | NPI | - | NPPES |
| PAD92 | Other | ID | BLUE CROSS PIN |
| 000010158675 | Other | ID | REGENCE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA-303 (Idaho) | 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. Mr Christopher Ray Sundquist is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Christopher Ray Sundquist, PAC
Po Box 775,
Athol, ID 83801
Ph: (208) 683-0800 | Mr Christopher Ray Sundquist, PAC
6101 W Hwy 54, Suite A,
Athol, ID 83801
Ph: (208) 683-0800 |
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