Corey Craig Bousquet, PA-C in Fairfield, CT - Medicare Physician Assistant

Corey Craig Bousquet, PA-C is a medicare enrolled "Physician Assistant" in Fairfield, Connecticut. His current practice location is 1918 Black Rock Tpke, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 583-8400.

Corey Craig Bousquet is licensed to practice in Connecticut (license number 2478) 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 1598717571.

Contact Information

	Corey Craig Bousquet, PA-C
	1918 Black Rock Tpke, Fairfield, CT 06825-3543
	(203) 583-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Corey Craig Bousquet
Gender	Male
Speciality	Physician Assistant
Location	1918 Black Rock Tpke, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598717571
Provider Enumeration Date: 05/17/2006
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4082645494
Enrollment ID: I20050825000628

Medical Identifiers

Medical identifiers for Corey Craig Bousquet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598717571	NPI	-	NPPES
291035	Other	FL	AMERIGROUP
292171500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9102466 (Florida)	Secondary
363A00000X	Physician Assistant	2478 (Connecticut)	Primary

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. Corey Craig Bousquet 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
Corey Craig Bousquet, PA-C 45 Maler Ave, Shelton, CT 06484-5925 Ph: (305) 528-9800	Corey Craig Bousquet, PA-C 1918 Black Rock Tpke, Fairfield, CT 06825-3543 Ph: (203) 583-8400

Reviews and Comments

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Corey Craig Bousquet, PA-C - Medicare Physician Assistant in Fairfield, CT