| Christopher Daugherty, PA-C | |
|
3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | |
| (719) 632-5700 | |
| Not Available |
| Full Name | Christopher Daugherty |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3207 N Academy Blvd, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871929075 | NPI | - | NPPES |
| 38605813 | Medicaid | CO | |
| 009889000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107495 (Florida) | Primary |
| Entity Name | Peak Vista Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Daugherty, PA-C 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 Ph: (719) 632-5700 | Christopher Daugherty, PA-C 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 Ph: (719) 632-5700 |
Mrs. Lauren Elizabeth Spain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Ms. Kirsten Felice Harlow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Miss Jamie Elizabeth Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909 Phone: 719-365-5445 Fax: 719-365-5530 |
Varinia Vigueras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 Phone: 719-364-6488 |
Vi T Pham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 722 S Wahsatch Ave, Colorado Springs, CO 80903 Phone: 719-632-5700 |
Caleb Seth Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd, Colorado Springs, CO 80910 Phone: 337-550-9939 |
Emily Lynn Rauchut, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6031 E Woodmen Rd Ste 300, Colorado Springs, CO 80923 Phone: 719-521-3391 |