Jason Champlin, LPC in Prescott, AZ - Medicare Counselor Provider

Jason Champlin, LPC is a medicare enrolled "Counselor - Professional" provider in Prescott, Arizona. His current practice location is 3700 Willow Creek Rd, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 910-3376.

Jason Champlin is licensed to practice in Arizona (license number LPC20200) 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 1366158867.

Contact Information

	Jason Champlin, LPC
	3700 Willow Creek Rd, Prescott, AZ 86301-3720
	(928) 910-3376
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Champlin
Gender	Male
Speciality	Counselor - Professional
Location	3700 Willow Creek Rd, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366158867
Provider Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0941651087
Enrollment ID: I20240112002287

Medical Identifiers

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

Identifier	Type	State	Issuer
1366158867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC20200 (Arizona)	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. Jason Champlin allows following entities to bill medicare on his behalf.

Entity Name	Raymond W Lemberg Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710162888 PECOS PAC ID: 3375578917 Enrollment ID: O20051003000131

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. Jason 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
Jason Champlin, LPC 3700 Willow Creek Rd, Prescott, AZ 86301-3721 Ph: () -	Jason Champlin, LPC 3700 Willow Creek Rd, Prescott, AZ 86301-3720 Ph: (928) 910-3376

Reviews and Comments

Counselor in Prescott, AZ

Mr. Gary Hees, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-778-4600 Fax: 928-778-2221
Ms. Deborah Kay Carson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1678 Oaklawn Dr, Prescott, AZ 86305 Phone: 928-533-7527 Fax: 928-708-0120
Mrs. Gail Ann Wagner, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 E Merritt St, Prescott, AZ 86301 Phone: 928-445-5027 Fax: 928-445-7071
Ms. Mary Jo Fleming, M.A. PROFESSIONAL CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 Phone: 928-227-2967
Colleen M Tretton, LPC, SEP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 W Granite Oaks Dr, Prescott, AZ 86305 Phone: 928-308-3129
Mr. William James Bilbray, MS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Hillside Ave, Prescott, AZ 86301 Phone: 928-710-9229 Fax: 928-710-9229
Ms. Bonnie D Grossman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-308-9050

Jason Champlin, LPC - Medicare Counselor in Prescott, AZ