Sophia Dixon, LPC in Champaign, IL - Medicare Counselor Provider

Sophia Dixon, LPC is a medicare enrolled "Counselor - Professional" provider in Champaign, Illinois. Her current practice location is 313 N Mattis Ave Ste 116, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 203-2008.

Sophia Dixon is licensed to practice in Illinois (license number 178016223) 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 1932712890.

Contact Information

	Sophia Dixon, LPC
	313 N Mattis Ave Ste 116, Champaign, IL 61821-7900
	(217) 203-2008
	(844) 412-7089

Map and Direction

Healthcare Provider's Profile

Full Name	Sophia Dixon
Gender	Female
Speciality	Counselor - Professional
Location	313 N Mattis Ave Ste 116, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932712890
Provider Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020

Medicare PECOS Information:

PECOS PAC ID: 3971945437
Enrollment ID: I20240529002857

Medical Identifiers

Medical identifiers for Sophia Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932712890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178016223 (Illinois)	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. Sophia Dixon allows following entities to bill medicare on her behalf.

Entity Name	Champaign Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770938359 PECOS PAC ID: 9335429232 Enrollment ID: O20161212001745

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. Sophia Dixon 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
Sophia Dixon, LPC 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900 Ph: (217) 203-2008	Sophia Dixon, LPC 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900 Ph: (217) 203-2008

Reviews and Comments

Counselor in Champaign, IL

Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360
Laura Green, LSW Counselor Medicare: Medicare Enrolled Practice Location: 201 W Springfield Ave, Champaign, IL 61820 Phone: 217-693-4918
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422
Ms. Johanna Hermina Willemse, BA, MHP Counselor Medicare: Medicare Enrolled Practice Location: 202 W Park Ave, Champaign, IL 61820 Phone: 217-373-2436

Sophia Dixon, LPC - Medicare Counselor in Champaign, IL