Serina Marie Champagne, is a
Peer Specialist based in Ontario, Oregon. Serina Marie Champagne is licensed to practice in * (Not Available) (license number ) and her current practice location is
702 Sunset Dr, Ontario, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 889-9167.
NPI number for Serina Marie Champagne is 1174110514 and her current mailing address is 702 Sunset Dr, Ontario, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174110514.
Healthcare Provider's Profile
| Full Name | Serina Marie Champagne |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 702 Sunset Dr, Ontario, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174110514
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 09/20/2022
Medical Identifiers
Medical identifiers for Serina Marie Champagne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174110514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Serina Marie Champagne 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 |
|---|
Serina Marie Champagne,
702 Sunset Dr,
Ontario, OR 97914-3121
Ph: (541) 889-9167 | Serina Marie Champagne,
702 Sunset Dr,
Ontario, OR 97914-3121
Ph: (541) 889-9167 |
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