Jacob Champney, MS LCMHC MLADC in Manchester, NH

Jacob Champney, MS LCMHC MLADC is a medicare enrolled "Counselor - Mental Health" provider in Manchester, New Hampshire. His current practice location is 100 Hitchcock Way, Dartmouth Hitchcock - Psychiatry, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-6150.

Jacob Champney is licensed to practice in New Hampshire (license number 884) 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 1730242876.

Contact Information

	Jacob Champney, MS LCMHC MLADC
	100 Hitchcock Way, Dartmouth Hitchcock - Psychiatry, Manchester, NH 03104
	(603) 650-6150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Champney
Gender	Male
Speciality	Counselor - Mental Health
Location	100 Hitchcock Way, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730242876
Provider Enumeration Date: 12/19/2006
Last Update Date: 10/29/2018

Medicare PECOS Information:

PECOS PAC ID: 1254782030
Enrollment ID: I20240105000880

Medical Identifiers

Medical identifiers for Jacob Champney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730242876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	835 (New Hampshire)	Secondary
101YM0800X	Counselor - Mental Health	884 (New Hampshire)	Primary

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. Jacob Champney allows following entities to bill medicare on his behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Jacob Champney 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
Jacob Champney, MS LCMHC MLADC 100 Hitchcock Way, Dartmouth Hitchcock - Psychiatry, Manchester, NH 03104 Ph: (603) 650-6150	Jacob Champney, MS LCMHC MLADC 100 Hitchcock Way, Dartmouth Hitchcock - Psychiatry, Manchester, NH 03104 Ph: (603) 650-6150

Reviews and Comments

Counselor in Manchester, NH

Catherine Eleni Moore, M.ED., LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6252
Christopher Darcy, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Franklin St, Manchester, NH 03101 Phone: 603-624-4717
Lisa Ann Sutter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 9 Blodget St, Manchester, NH 03104 Phone: 603-668-4111
Mrs. Susan Denise Macdermott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702
Elizabeth Cornelia Lee, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111
Jill Leppanen Lerner, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 754 Chestnut St Ste 2, Manchester, NH 03104 Phone: 603-836-5003 Fax: 603-836-5004
Erin M Dudley, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Cypress St, Manchester, NH 03103 Phone: 603-668-4111 Fax: 603-628-7757

Jacob Champney, MS LCMHC MLADC - Medicare Counselor in Manchester, NH