Christina C Coughlin, PA is a
Physician Assistant - Medical based in N Syracuse, New York. Christina C Coughlin is licensed to practice in New York (license number 007925-1) and her current practice location is
5496 E Taft Rd, N Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 552-6700.
NPI number for Christina C Coughlin is 1942259395 and her current mailing address is 5719 Widewaters Pkwy, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942259395.
Provider's Profile
Full Name | Christina C Coughlin |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 5496 E Taft Rd, N Syracuse, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942259395
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 11/29/2012
Medical Identifiers
Medical identifiers for Christina C Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942259395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 007925-1 (New York) | 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. Christina C Coughlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christina C Coughlin, PA 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 703-3480 | Christina C Coughlin, PA 5496 E Taft Rd, N Syracuse, NY 13212-3784 Ph: (315) 552-6700 |
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