Ronald Champagne, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Canton, Illinois. He went to Rush Medical College Of Rush University and graduated in 1995 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Peoria Tazewell Pathology Group, S.c., Peoria Tazewell Pathology Group, S.c. and his current practice location is
210 W Walnut St, Canton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 647-5240.
Ronald Champagne is licensed to practice in Illinois (license number 036100240) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306884622.
Physician's Profile
| Full Name | Ronald Champagne |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 30 Years |
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| Location | 210 W Walnut St, Canton, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Ronald Champagne attended and graduated from Rush Medical College Of Rush University in 1995
NPI Data:
- NPI Number: 1306884622
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 08/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 4880718725
- Enrollment ID: I20100830001061
Medical Identifiers
Medical identifiers for Ronald Champagne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306884622 | NPI | - | NPPES |
| P00005646 | Other | IL | RAILROAD MEDICARE |
| 0361002402 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036100240 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
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. Ronald Champagne allows following entities to bill medicare on his behalf.
| Entity Name | Peoria Tazewell Pathology Group, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578597738
PECOS PAC ID: 1254228711
Enrollment ID: O20040301000787 |
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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. Ronald 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 |
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Ronald Champagne, MD
Po Box 60070,
N Charleston, SC 29419-0070
Ph: (866) 759-4528 | Ronald Champagne, MD
210 W Walnut St,
Canton, IL 61520-2444
Ph: (309) 647-5240 |
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