Christopher Md & Associates, Pa | |
131 E Redstone Ave Suite 107 Crestview FL 32539-5326 | |
(850) 682-6320 | |
(850) 682-6339 |
Full Name | Christopher Md & Associates, Pa |
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Speciality | Family Medicine |
Location | 131 E Redstone Ave, Crestview, Florida |
Authorized Official Name and Position | Indumathi Christopher (PHYSICIAN) |
Authorized Official Contact | 8506826320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Christopher Md & Associates, Pa 131 E Redstone Ave Suite 107 Crestview FL 32539-5326 Ph: (850) 682-6320 | Christopher Md & Associates, Pa 131 E Redstone Ave Suite 107 Crestview FL 32539-5326 Ph: (850) 682-6320 |
NPI Number | 1396879185 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 09/15/2022 |
Medicare PECOS PAC ID | 9133141328 |
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Medicare Enrollment ID | O20060103000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396879185 | NPI | - | NPPES |
2012340 | Other | FL | FIRST HEALTH NUMBER |
274400700 | Medicaid | FL | |
1431330005 | Other | FL | CIGNA PROVIDER NUMBER |
7689404 | Other | FL | AETNA PROVIDER NUMBER |
2236414005 | Other | FL | UNITED HEALTHCARE NUMBER |
31703 | Other | FL | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Indumathi Christopher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467453613 PECOS PAC ID: 6800878430 Enrollment ID: I20060104000136 |
Provider Name | Dana R Odom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942758446 PECOS PAC ID: 7719265529 Enrollment ID: I20161031000294 |
Provider Name | Michelle L Koralewski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487333613 PECOS PAC ID: 3577925676 Enrollment ID: I20230821002657 |
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