MEDICARE: CHRISTOPHER T. CHEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	ME0087698	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7719723-003	OTHER	FL	CIGNA PROVIDER NUMBER
2	289913	OTHER	FL	AVMED PROVIDER NUMBER
3	224345	OTHER	FL	WELLCARE
4	71699	OTHER	FL	BCBS PROVIDER NUMBER
5	QMP000003667233	OTHER	FL	MOLINA MCD
6	4099573	OTHER	FL	GHI PROVIDER NUMBER
7	7660443	OTHER	FL	AETNA PROVIDER NUMBER
8	7719723	OTHER	FL	CIGNA THRU THE KEYS PHA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	10236	OTHER	FL	DIMENSION PROVIDER NUMBER
11	289913	OTHER	FL	AVMED THRU KEYS PHA
12	7660443	OTHER	FL	AETNA THRU KEYS PHA
13	224345	OTHER	FL	WELLCARE PROVIDER NUMBER
14	8952	OTHER	FL	TOTAL HLTH CH. PROVIDER #
15	969200	OTHER	FL	USA MNGD CR PROVIDER #
16	197042	OTHER	FL	AMERIGROUP PROVIDER NUM.
17	44989	OTHER	FL	NHP THRU PMG PROVIDER #
18	P0003149	OTHER	FL	FLORIDA HEALTHCARE PLUS
19	FLPV00003667233	OTHER	FL	MOLINA MCR
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245235688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER T. CHEN MD

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	2101 RIVERSIDE DR
Second Line	:	SUITE 101
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6260
Country	:	US
Telephone Number	:	954-341-6200
Fax Number	:	239-341-6204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/22/2014

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