Christopher Michael Gamboa, MD is a medicare enrolled "Hospitalist" physician in Fairfax, South Carolina. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rural Physicians Group-pannu Pllc, Springfield Hospital Inc., Houlton Regional Hospital and his current practice location is
1787 Allendale Fairfax Hwy, Fairfax, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 632-3311.
Christopher Michael Gamboa is licensed to practice in Maine (license number MD29211) 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 1083235444.
Physician's Profile
| Full Name | Christopher Michael Gamboa |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 5 Years |
|---|
| Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Christopher Michael Gamboa graduated from medical school in 2020
NPI Data:
- NPI Number: 1083235444
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880046796
- Enrollment ID: I20240116004126
Medical Identifiers
Medical identifiers for Christopher Michael Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083235444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 91160 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | MD29211 (Maine) | Secondary |
| 208M00000X | Hospitalist | MMD.91160 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | MD29211 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rural Physicians Group-pannu Pllc | 0345467486 | 103 |
| Springfield Hospital Inc. | 6507760337 | 46 |
| Houlton Regional Hospital | 0042127946 | 35 |
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. Christopher Michael Gamboa allows following entities to bill medicare on his behalf.
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891236584
PECOS PAC ID: 0345467486
Enrollment ID: O20230711001944 |
|---|
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 Michael Gamboa 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 Michael Gamboa, MD
34 Onyx Ct,
St Augustine, FL 32086-0361
Ph: (904) 887-9801 | Christopher Michael Gamboa, MD
1787 Allendale Fairfax Hwy,
Fairfax, SC 29827-9133
Ph: (803) 632-3311 |
Reviews and Comments