Mrs Christine Marie Guillermo, MHS PA-C is a medicare enrolled "Physician Assistant" physician in Oklahoma City, Oklahoma. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Variety Care, Inc. and her current practice location is
4021 S Walker Ave Ste 201, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 246-3950.
Mrs Christine Marie Guillermo is licensed to practice in Oklahoma (license number 1439) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871655217.
Physician's Profile
| Full Name | Mrs Christine Marie Guillermo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 4021 S Walker Ave Ste 201, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Christine Marie Guillermo graduated from medical school in 2004
NPI Data:
- NPI Number: 1871655217
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688619067
- Enrollment ID: I20050826000484
Medical Identifiers
Medical identifiers for Mrs Christine Marie Guillermo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871655217 | NPI | - | NPPES |
| 200071440A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 1439 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2215 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 1439 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Variety Care, Inc. | 1557260007 | 81 |
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. Mrs Christine Marie Guillermo 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 |
|---|
Mrs Christine Marie Guillermo, MHS PA-C
3000 N Grand Blvd,
Oklahoma City, OK 73107-1818
Ph: (405) 632-6688 | Mrs Christine Marie Guillermo, MHS PA-C
4021 S Walker Ave Ste 201,
Oklahoma City, OK 73109-6977
Ph: (405) 246-3950 |
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