MEDICARE: CHRISTINE A. RODGERS RPA-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	005478	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	00570414001	OTHER	COMMUNITY BL ADV
2	040426004288	OTHER	FIDELIS
3	00570414001	OTHER	COMMUNITY BLUE
4	00570414001	OTHER	FAMILY HEALTH PLUS
5	7387280	OTHER	AETNA
6	9512290	OTHER	IHA CUSTOM COVERAGE
7	00570414001	OTHER	HEALTHY NY
8	7387280	OTHER	AETNA HMO
9	9512290	OTHER	IHA ENCOMPASS 65
10	00570414001	OTHER	BCBCS OF WNY
11	7387280	OTHER	AETNA PPO POS
12	9512290	OTHER	IHA
13	00570414001	OTHER	HMO 100
14	00570414001	OTHER	COMMUNITY CARE
15	00570414001	OTHER	ASO PPO
16	00570414001	OTHER	CHILD HEALTH PLUS
17	00570414001	OTHER	SENIOR BLUE

General Provider Information

NPI Number	:	1871696401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE A. RODGERS RPA-C

Provider Business Mailing Address
First Line	:	PO BOX 505
Second Line	:
City	:	NORTH CHILI
State	:	NY
Zip	:	14514-0505
Country	:	US
Telephone Number	:	585-594-5995
Fax Number	:	585-594-5425

Provider Business Practice Location Address
First Line	:	4201 BUFFALO RD
Second Line	:
City	:	NORTH CHILI
State	:	NY
Zip	:	14514-1256
Country	:	US
Telephone Number	:	585-594-5995
Fax Number	:	585-594-5425

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/21/2022

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Directions to “ CHRISTINE A. RODGERS RPA-C” Practice Location

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