Justin Wayne Bordeaux, PA is a medicare enrolled "Physician Assistant" in Youngsville, North Carolina. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dlp Person Urgent Care Llc and his current practice location is
700 Us 1 Hwy Ste 100, Youngsville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 562-2340.
Justin Wayne Bordeaux is licensed to practice in North Carolina (license number 0010-04057) 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 1366780033.
Provider's Profile
Full Name | Justin Wayne Bordeaux |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 12 Years |
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Location | 700 Us 1 Hwy Ste 100, Youngsville, North Carolina |
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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:
- Justin Wayne Bordeaux graduated from nursing school in 2012
NPI Data:
- NPI Number: 1366780033
- Provider Enumeration Date: 01/30/2013
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517112766
- Enrollment ID: I20130220000014
Medical Identifiers
Medical identifiers for Justin Wayne Bordeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366780033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 0010-04057 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-04057 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dlp Person Urgent Care Llc | 9032478698 | 10 |
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. Justin Wayne Bordeaux 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 |
Justin Wayne Bordeaux, PA 3762 Durham Rd A, Roxboro, NC 27573-2741 Ph: (336) 330-0400 | Justin Wayne Bordeaux, PA 700 Us 1 Hwy Ste 100, Youngsville, NC 27596-7873 Ph: (919) 562-2340 |
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