Mr Justin Champagne, PA-C in Waterbury, CT - Medicare Physician Assistant

Mr Justin Champagne, PA-C is a medicare enrolled "Physician Assistant - Medical" in Waterbury, Connecticut. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Diagnostic Radiology Associates Llc and his current practice location is 134 Grandview Ave, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 756-8911.

Mr Justin Champagne is licensed to practice in Connecticut (license number 001721) 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 1073697108.

Contact Information

	Mr Justin Champagne, PA-C
	134 Grandview Ave, Waterbury, CT 06708-2507
	(203) 756-8911
	(203) 574-0548

Map and Direction

Provider's Profile

Full Name	Mr Justin Champagne
Gender	Male
Speciality	Physician Assistant
Experience	19 Years
Location	134 Grandview Ave, Waterbury, Connecticut
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:

Mr Justin Champagne graduated from nursing school in 2005

NPI Data:

NPI Number: 1073697108
Provider Enumeration Date: 10/25/2006
Last Update Date: 01/12/2012

Medicare PECOS Information:

PECOS PAC ID: 2567486228
Enrollment ID: I20060120000350

Medical Identifiers

Medical identifiers for Mr Justin Champagne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073697108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	001721 (Connecticut)	Secondary
363AM0700X	Physician Assistant - Medical	001721 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waterbury Hospital	Waterbury, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Diagnostic Radiology Associates Llc	7113939505	12

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. Mr Justin 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
Mr Justin Champagne, PA-C 134 Grandview Ave, Waterbury, CT 06708-2507 Ph: (203) 756-8911	Mr Justin Champagne, PA-C 134 Grandview Ave, Waterbury, CT 06708-2507 Ph: (203) 756-8911

Reviews and Comments

Physician Assistant Nurses in Waterbury, CT

Ms. Jodi Lasky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26 Westport Dr, Waterbury, CT 06706 Phone: 203-565-4728
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Dylan Stempel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 860-227-4756
Lynn Baylis, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6295 Fax: 203-573-7613

Mr Justin Champagne, PA-C - Medicare Physician Assistant in Waterbury, CT