Christian Michael Kondan, PA-C is a medicare enrolled "Physician Assistant" in Lakeside, California. His current practice location is
13523 Sohail St, Lakeside, California. You can reach out to his office (for appointments etc.) via phone at
(619) 564-9461.
Christian Michael Kondan is licensed to practice in California (license number PA60948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255073748.
Provider's Profile
Full Name | Christian Michael Kondan |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 13523 Sohail St, Lakeside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255073748
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688041361
- Enrollment ID: I20221109002138
Medical Identifiers
Medical identifiers for Christian Michael Kondan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255073748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA60948 (California) | 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. Christian Michael Kondan 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 |
Christian Michael Kondan, PA-C 13523 Sohail St, Lakeside, CA 92040-4762 Ph: () - | Christian Michael Kondan, PA-C 13523 Sohail St, Lakeside, CA 92040-4762 Ph: (619) 564-9461 |
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