Sara Champie, is a medicare enrolled "Social Worker - Clinical" provider in Sebastopol, California. Her current practice location is
435 Petaluma Ave Ste 140, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at
(707) 861-0577.
Sara Champie is licensed to practice in California (license number 87702) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013303809.
Healthcare Provider's Profile
Full Name | Sara Champie |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 435 Petaluma Ave Ste 140, Sebastopol, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013303809
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 07/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284067612
- Enrollment ID: I20191125002923
Medical Identifiers
Medical identifiers for Sara Champie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013303809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 65842 (California) | Secondary |
104100000X | Social Worker | 65842 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 87702 (California) | 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. Sara Champie 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 |
Sara Champie, Po Box 472, Sebastopol, CA 95473-0472 Ph: (707) 861-0577 | Sara Champie, 435 Petaluma Ave Ste 140, Sebastopol, CA 95472-4273 Ph: (707) 861-0577 |
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