Timothy Champlin, in Centerville, UT - Medicare Clinical Social Worker Provider

Timothy Champlin, is a medicare enrolled "Social Worker - Clinical" provider in Centerville, Utah. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice South Davis Psychological Services and his current practice location is 520 N Market Place Dr Ste 200, Centerville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 934-3373.

Timothy Champlin is licensed to practice in Utah (license number 9832512-3501) 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 1760926901.

Contact Information

	Timothy Champlin,
	520 N Market Place Dr Ste 200, Centerville, UT 84014-4904
	(801) 934-3373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Champlin
Gender	Male
Speciality	Clinical Social Worker
Experience	8 Years
Location	520 N Market Place Dr Ste 200, Centerville, Utah
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:

Timothy Champlin graduated from medical school in 2016

NPI Data:

NPI Number: 1760926901
Provider Enumeration Date: 12/07/2016
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6305181108
Enrollment ID: I20181226001138

Medical Identifiers

Medical identifiers for Timothy Champlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760926901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9832512-3501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Davis Psychological Services	0446511927	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy Champlin allows following entities to bill medicare on his behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

Entity Name	South Davis Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386142396 PECOS PAC ID: 0446511927 Enrollment ID: O20180223002317

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. Timothy Champlin 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
Timothy Champlin, 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 Ph: (801) 934-3373	Timothy Champlin, 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 Ph: (801) 934-3373

Reviews and Comments

Social Worker in Centerville, UT

Aanika J Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Miss Courtney Ann Mcdonough, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Kate Emily Garrett Packer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Madeline Claude, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 N Market Place Dr, Centerville, UT 84014 Phone: 801-934-3373
Ms. Julie Blundell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1634 Lewis And Clark Dr, Centerville, UT 84014 Phone: 801-856-4166
Mrs. Karina C Penrod, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Mrs. Lisa Steed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, Suite A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147

Timothy Champlin, - Medicare Clinical Social Worker in Centerville, UT