Brandon J Churchman, PA-C, DDS is a medicare enrolled "Dentist - General Practice" in Lansing, Michigan. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Theoria Medical and his current practice location is
1215 E Michigan Ave, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 364-1000.
Brandon J Churchman is licensed to practice in Michigan (license number 2901022201) 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 1548423015.
Provider's Profile
Full Name | Brandon J Churchman |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 16 Years |
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Location | 1215 E Michigan Ave, Lansing, Michigan |
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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. |
Medical Education and Training:
- Brandon J Churchman graduated from nursing school in 2008
NPI Data:
- NPI Number: 1548423015
- Provider Enumeration Date: 07/05/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456382415
- Enrollment ID: I20110331000917
Medical Identifiers
Medical identifiers for Brandon J Churchman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548423015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5691005799 (Michigan) | Secondary |
363AM0700X | Physician Assistant - Medical | TL447 (Wyoming) | Secondary |
1223G0001X | Dentist - General Practice | 2901022201 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Theoria Medical | 5395098339 | 100 |
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. Brandon J Churchman 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 |
Brandon J Churchman, PA-C, DDS 2537 Momentum Pl, Chicago, IL 60689-5325 Ph: (616) 975-1845 | Brandon J Churchman, PA-C, DDS 1215 E Michigan Ave, Lansing, MI 48912-1811 Ph: (517) 364-1000 |
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