Dr Jevin Marc Bordelon, MD is a medicare enrolled "Family Medicine" physician in Basile, Louisiana. His current practice location is
9000 Evangeline Hwy, Basile, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 432-6712.
Dr Jevin Marc Bordelon is licensed to practice in Louisiana (license number MD.204694) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760643928.
Physician's Profile
Full Name | Dr Jevin Marc Bordelon |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 9000 Evangeline Hwy, Basile, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760643928
- Provider Enumeration Date: 06/20/2008
- Last Update Date: 07/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 4284803354
- Enrollment ID: I20110805000346
Medical Identifiers
Medical identifiers for Dr Jevin Marc Bordelon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760643928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD.204694 (Louisiana) | Primary |
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. Dr Jevin Marc Bordelon allows following entities to bill medicare on his behalf.
Entity Name | Eunice Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
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Entity Name | Emergency Group Of St Landry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164491320 PECOS PAC ID: 0749237212 Enrollment ID: O20050406000828 |
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Entity Name | Ambassador Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
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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. Dr Jevin Marc Bordelon 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 |
Dr Jevin Marc Bordelon, MD 9000 Evangeline Hwy, Basile, LA 70515-3332 Ph: (337) 432-6712 | Dr Jevin Marc Bordelon, MD 9000 Evangeline Hwy, Basile, LA 70515-3332 Ph: (337) 432-6712 |
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