Kathleen Ann Champion, RDLD in Osage Beach, MO - Medicare Dietitian, Registered Provider

Kathleen Ann Champion, RDLD is a medicare enrolled "Dietitian, Registered" provider in Osage Beach, Missouri. Her current practice location is 54 Hospital Dr, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 302-2740.

Kathleen Ann Champion is licensed to practice in Missouri (license number 2008025559) 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 1245475235.

Contact Information

	Kathleen Ann Champion, RDLD
	54 Hospital Dr, Osage Beach, MO 65065-3050
	(573) 302-2740
	(573) 302-2755

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Ann Champion
Gender	Female
Speciality	Dietitian, Registered
Location	54 Hospital Dr, Osage Beach, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245475235
Provider Enumeration Date: 12/05/2008
Last Update Date: 12/05/2008

Medicare PECOS Information:

PECOS PAC ID: 4183787039
Enrollment ID: I20090120000511

Medical Identifiers

Medical identifiers for Kathleen Ann Champion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245475235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2008025559 (Missouri)	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. Kathleen Ann Champion allows following entities to bill medicare on her behalf.

Provider Name	Lake Regional Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147

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. Kathleen Ann Champion 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
Kathleen Ann Champion, RDLD 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2740	Kathleen Ann Champion, RDLD 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2740

Reviews and Comments

Dietitian, Registered in Osage Beach, MO

Cathy A Spetek, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8376 Fax: 573-348-8326
Emily Diane Mertensmeyer, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2747 Fax: 573-302-2755
Lake Regional Health System Dietitian Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 Fax: 573-348-8069
Adam Lloyd Ilgen, RD, LRD Dietitian Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2747 Fax: 573-302-2755
Amy Tillotson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 929 Highway D, Osage Beach, MO 65065 Phone: 309-369-3803
Cynthia Jane Gates, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2740

Kathleen Ann Champion, RDLD - Medicare Dietitian in Osage Beach, MO