| Mr Gerald Crist, PA | |
|
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
| (910) 615-5793 | |
| Not Available |
| Full Name | Mr Gerald Crist |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1638 Owen Dr, Fayetteville, North 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134668007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0010-06997 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpc-9 Llc | 1658526710 | 57 |
| Pinehurst Surgical Clinic Pa | 4587561394 | 92 |
| Entity Name | Pinehurst Surgical Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962434324 PECOS PAC ID: 4587561394 Enrollment ID: O20031218000239 |
| Entity Name | The Carolinas Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Mcpc-9 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487919973 PECOS PAC ID: 1658526710 Enrollment ID: O20130222000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gerald Crist, PA 3186 Village Dr, Ste 201, Fayetteville, NC 28304-3979 Ph: (910) 486-5700 | Mr Gerald Crist, PA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5793 |
Mrs. Angela Chase Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 413 Owen Drive, Suite 201, Fayetteville, NC 28304 Phone: 910-323-9111 Fax: 910-484-2535 |
Cheryl M. Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006 |
Mr. Christopher Galgano, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St Ste 184, Fayetteville, NC 28301 Phone: 910-488-2120 |
Ashley Nicole Stone, MPH, CDCES Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Robeson St Ste 410, Fayetteville, NC 28301 Phone: 910-615-1885 Fax: 910-321-6254 |
Rachel Catherine Kellomaki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1880 Quiet Cv, Fayetteville, NC 28304 Phone: 910-323-2477 Fax: 910-323-5931 |
Ms. Alaine D Jones, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1750 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-485-8831 Fax: 910-485-8832 |
Mr. Ronald Norman Hijduk Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1880 Quiet Cv, Fayetteville, NC 28304 Phone: 910-323-2477 Fax: 910-323-5931 |