MEDICARE: MR. CHRISTOPHER S MERCHANT P.A. C

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	363A00000X	Physician Assistant	220	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	970013232	OTHER	MT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00092583	OTHER	MT	BLUE CROSS BLUE SHIELD
2	184609700	OTHER	MT	FEDERAL WORK COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	810347861009	OTHER	MT	EBMS
6	810347861	OTHER	MT	CHAMPUS
7	0206210	OTHER	MT	WASHINGTON L & I

General Provider Information

NPI Number	:	1417999814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER S MERCHANT P.A. C

Provider Business Mailing Address
First Line	:	500 15TH AVE S
Second Line	:	SUITE 1
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4324
Country	:	US
Telephone Number	:	406-455-3650
Fax Number	:	406-455-3695

Provider Business Practice Location Address
First Line	:	500 15TH AVE S
Second Line	:	SUITE 1
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4324
Country	:	US
Telephone Number	:	406-455-3650
Fax Number	:	406-455-3695

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	04/08/2024

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Directions to “ MR. CHRISTOPHER S MERCHANT P.A. C” Practice Location

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