Christodoulos S Christodoulou, MD is a medicare enrolled "Allergy & Immunology" physician in San Angelo, Texas. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Shannon Clinic and his current practice location is
2141 Hamilton Way, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at
(325) 747-2480.
Christodoulos S Christodoulou is licensed to practice in Texas (license number P1628) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700140969.
Physician's Profile
| Full Name | Christodoulos S Christodoulou |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 34 Years |
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| Location | 2141 Hamilton Way, San Angelo, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christodoulos S Christodoulou graduated from medical school in 1990
NPI Data:
- NPI Number: 1700140969
- Provider Enumeration Date: 07/02/2012
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688818792
- Enrollment ID: I20130911000385
Medical Identifiers
Medical identifiers for Christodoulos S Christodoulou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700140969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | P1628 (Texas) | Secondary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | P1628 (Texas) | Secondary |
| 207K00000X | Allergy & Immunology | P1628 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shannon Clinic | 0840103727 | 412 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christodoulos S Christodoulou allows following entities to bill medicare on his behalf.
| Entity Name | Shannon Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702 |
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| Entity Name | Medcare Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215025598
PECOS PAC ID: 5294714580
Enrollment ID: O20040719001620 |
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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. Christodoulos S Christodoulou 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 |
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Christodoulos S Christodoulou, MD
1650 Highway 16 S.,
Bandera, TX 78009
Ph: (830) 796-7713 | Christodoulos S Christodoulou, MD
2141 Hamilton Way,
San Angelo, TX 76904-6831
Ph: (325) 747-2480 |
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