Nathan Samuel Champion, is a
Community Health Worker based in Fresno, California. Nathan Samuel Champion is licensed to practice in * (Not Available) (license number ) and his current practice location is
3793 N Polk Ave, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 270-1206.
NPI number for Nathan Samuel Champion is 1104460989 and his current mailing address is 4460 W Shaw Ave # 595, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104460989.
Healthcare Provider's Profile
| Full Name | Nathan Samuel Champion |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3793 N Polk Ave, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104460989
- Provider Enumeration Date: 11/04/2019
- Last Update Date: 01/26/2024
Medical Identifiers
Medical identifiers for Nathan Samuel Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104460989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Nathan Samuel Champion is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nathan Samuel Champion,
4460 W Shaw Ave # 595,
Fresno, CA 93722-6210
Ph: (559) 277-3494 | Nathan Samuel Champion,
3793 N Polk Ave,
Fresno, CA 93722-9763
Ph: (559) 270-1206 |
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