Christine E Cork, PA-C CAQ PSYCH in Longmont, CO - Medicare Physician Assistant

Christine E Cork, PA-C CAQ PSYCH is a medicare enrolled "Physician Assistant" physician in Longmont, Colorado. Her current practice location is 635 Gooseberry Dr Unit 1905, Longmont, Colorado. You can reach out to her office (for appointments etc.) via phone at (678) 697-9665.

Christine E Cork is licensed to practice in Colorado (license number PA.0005295) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811403363.

Contact Information

	Christine E Cork, PA-C CAQ PSYCH
	635 Gooseberry Dr Unit 1905, Longmont, CO 80503-6457
	(678) 697-9665
	Not Available

Physician's Profile

Full Name	Christine E Cork
Gender	Female
Speciality	Physician Assistant
Location	635 Gooseberry Dr Unit 1905, Longmont, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811403363
Provider Enumeration Date: 12/20/2017
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3375805823
Enrollment ID: I20180803001675

Medical Identifiers

Medical identifiers for Christine E Cork such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811403363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	PA.0005295 (Colorado)	Secondary
363A00000X	Physician Assistant	PA.0005295 (Colorado)	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. Christine E Cork 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
Christine E Cork, PA-C CAQ PSYCH 635 Gooseberry Dr Unit 1905, Longmont, CO 80503-6457 Ph: (678) 697-9665	Christine E Cork, PA-C CAQ PSYCH 635 Gooseberry Dr Unit 1905, Longmont, CO 80503-6457 Ph: (678) 697-9665

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Christine E Cork, PA-C CAQ PSYCH - Medicare Physician Assistant in Longmont, CO