| Christopher Md & Associates, Pa | |
|
131 E Redstone Ave Suite 107 Crestview FL 32539-5326 | |
| (850) 682-6320 | |
| (850) 682-6339 |
| Full Name | Christopher Md & Associates, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 131 E Redstone Ave, Crestview, Florida |
| Authorized Official Name and Position | Indumathi Christopher (PHYSICIAN) |
| Authorized Official Contact | 8506826320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Md & Associates, Pa 131 E Redstone Ave Suite 107 Crestview FL 32539-5326 Ph: (850) 682-6320 | Christopher Md & Associates, Pa 131 E Redstone Ave Suite 107 Crestview FL 32539-5326 Ph: (850) 682-6320 |
| NPI Number | 1396879185 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 9133141328 |
|---|---|
| Medicare Enrollment ID | O20060103000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396879185 | NPI | - | NPPES |
| 2012340 | Other | FL | FIRST HEALTH NUMBER |
| 274400700 | Medicaid | FL | |
| 1431330005 | Other | FL | CIGNA PROVIDER NUMBER |
| 7689404 | Other | FL | AETNA PROVIDER NUMBER |
| 2236414005 | Other | FL | UNITED HEALTHCARE NUMBER |
| 31703 | Other | FL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Indumathi Christopher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467453613 PECOS PAC ID: 6800878430 Enrollment ID: I20060104000136 |
| Provider Name | Dana R Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942758446 PECOS PAC ID: 7719265529 Enrollment ID: I20161031000294 |
| Provider Name | Michelle L Koralewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487333613 PECOS PAC ID: 3577925676 Enrollment ID: I20230821002657 |
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