Mrs Elizabeth G Champagne, is a medicare enrolled "Dietitian, Registered" provider in Breaux Bridge, Louisiana. She graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Elizabeth Champagne Llc and her current practice location is
1622 Agnes St, Breaux Bridge, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 277-1069.
Mrs Elizabeth G Champagne is licensed to practice in Louisiana (license number 298) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972801884.
Healthcare Provider's Profile
Full Name | Mrs Elizabeth G Champagne |
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Gender | Female |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 38 Years |
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Location | 1622 Agnes St, Breaux Bridge, Louisiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Elizabeth G Champagne graduated from medical school in 1987
NPI Data:
- NPI Number: 1972801884
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 03/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800011727
- Enrollment ID: I20140711000489
Medical Identifiers
Medical identifiers for Mrs Elizabeth G Champagne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972801884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 298 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Elizabeth Champagne Llc | 6002031929 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Elizabeth G Champagne allows following entities to bill medicare on her behalf.
Provider Name | Elizabeth Champagne Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841605755 PECOS PAC ID: 6002031929 Enrollment ID: O20140710000158 |
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Provider Name | Dennis G Walker Family Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1760015721 PECOS PAC ID: 9830529684 Enrollment ID: O20200420001876 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth G Champagne is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Elizabeth G Champagne, 1622 Agnes St, Breaux Bridge, LA 70517-3438 Ph: (337) 277-1069 | Mrs Elizabeth G Champagne, 1622 Agnes St, Breaux Bridge, LA 70517-3438 Ph: (337) 277-1069 |
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