Jacqueline M Champlain, MD is a medicare enrolled "Family Medicine" physician in Elgin, Texas. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Legacy Healthcare Services Inc, Wellmed Medical Group Pa and her current practice location is
1392 W Us Highway 290, Unit 2, Elgin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 285-3315.
Jacqueline M Champlain is licensed to practice in Texas (license number R1713) 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 1497049209.
Physician's Profile
| Full Name | Jacqueline M Champlain |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 13 Years |
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| Location | 1392 W Us Highway 290, Elgin, Texas |
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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. |
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Medical Education and Training:
- Jacqueline M Champlain attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2011
NPI Data:
- NPI Number: 1497049209
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587884234
- Enrollment ID: I20170323002177
Medical Identifiers
Medical identifiers for Jacqueline M Champlain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497049209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R1713 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Wellmed Medical Group Pa | 4880657386 | 663 |
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. Jacqueline M Champlain allows following entities to bill medicare on her behalf.
| Entity Name | Wellmed Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437156486
PECOS PAC ID: 4880657386
Enrollment ID: O20041105000519 |
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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. Jacqueline M Champlain 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 |
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Jacqueline M Champlain, MD
1392 W Us Highway 290, Unit 2,
Elgin, TX 78621
Ph: (512) 285-3315 | Jacqueline M Champlain, MD
1392 W Us Highway 290, Unit 2,
Elgin, TX 78621
Ph: (512) 285-3315 |
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