| Justin Wayne Bordeaux, PA | |
|
700 Us 1 Hwy Ste 100, Youngsville, NC 27596-7873 | |
| (919) 562-2340 | |
| (919) 562-2315 |
| Full Name | Justin Wayne Bordeaux |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 700 Us 1 Hwy Ste 100, Youngsville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366780033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0010-04057 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-04057 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Granville Health Systems | Oxford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granville Health System | 1052223757 | 78 |
| Dlp Person Urgent Care Llc | 9032478698 | 11 |
| Entity Name | North Carolina Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861386 PECOS PAC ID: 1355254947 Enrollment ID: O20031110000563 |
| Entity Name | Granville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040312001033 |
| Entity Name | The Carolinas Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Dlp Person Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275043481 PECOS PAC ID: 9032478698 Enrollment ID: O20180108000023 |
| 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 |
Chelsea Rose Mcnally, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Us 1 Hwy Ste 100, Youngsville, NC 27596 Phone: 919-562-2340 Fax: 919-562-2315 |