Look up the most recent NPI and PECOS records

Christina Hagan

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St, Philadelphia, PA 19104-4238

PECOS Enrollment

Based on the most recent information from CMS, provider Christina Hagan 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 5 days ago.

Profile Details

Provider ID
1316475791
Provider Type
Individual
Full Name
Hagan, Christina
Gender
Female

Sole Proprietor
No
Enumeration Date
5/30/2017
Last Updated
9/2/2022

Contact Information

Practice Location

3400 Spruce St, Philadelphia, PA 19104-4238

(215) 662-4000

Unlisted Fax

Mailing Location

3400 Spruce St, Philadelphia, PA 19104-4238

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA059002 Pennsylvania

Christina Hagan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lee, Catherine P

Mungiole, Nicole S

Shellenberger, Deborah

Gitter, Benjamin

Dons, Katerina

Mandia, Sofia Marie

Dymond, Daniel James

Brunker, Tamara M

Gudknecht, Amanda A.

Averna, Tiffany Ann