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Christine A. Czepizak

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

14384 Marsh Hammock Dr S, Jacksonville, FL 32224-1868

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINE CZEPIZAK.

Based on the most recent information from CMS, provider Christine A. Czepizak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043436165
Provider Type
Individual
Full Name
Czepizak, Christine A.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2007
Last Updated
11/23/2010

Contact Information

Practice Location

14384 Marsh Hammock Dr S, Jacksonville, FL 32224-1868

(904) 381-9500

Unlisted Fax

Mailing Location

14384 Marsh Hammock Dr S, Jacksonville, FL 32224-1868

(904) 463-2847

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA 2198 Florida

Christine A. Czepizak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Henry, Tanisha M

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Miiller, Jennifer