Dr Nicholas Tyler Champion, MD in Venice, FL

Dr Nicholas Tyler Champion, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Venice, Florida. His current practice location is 195 Center Rd Ste B, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 492-6227.

Dr Nicholas Tyler Champion is licensed to practice in Florida (license number ME158384) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659806644.

Contact Information

	Dr Nicholas Tyler Champion, MD
	195 Center Rd Ste B, Venice, FL 34285-5565
	(941) 492-6227
	(941) 492-6335

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Tyler Champion
Gender	Male
Speciality	Surgery - Surgical Oncology
Location	195 Center Rd Ste B, Venice, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659806644
Provider Enumeration Date: 04/27/2017
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3072858604
Enrollment ID: I20230816002131

Medical Identifiers

Medical identifiers for Dr Nicholas Tyler Champion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659806644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME158384 (Florida)	Secondary
2086X0206X	Surgery - Surgical Oncology	ME158384 (Florida)	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. Dr Nicholas Tyler Champion allows following entities to bill medicare on his behalf.

Entity Name	Genesiscare Usa Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663

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. Dr Nicholas Tyler 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
Dr Nicholas Tyler Champion, MD 195 Center Rd Ste B, Venice, FL 34285-5565 Ph: (941) 492-6227	Dr Nicholas Tyler Champion, MD 195 Center Rd Ste B, Venice, FL 34285-5565 Ph: (941) 492-6227

Reviews and Comments

Surgery Doctors in Venice, FL

Dr. David K Aldrich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 436 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7742 Fax: 941-484-7756
David Yan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 2, Venice, FL 34293 Phone: 941-207-5355 Fax: 941-207-5347
Dr. Sidney Wayne Holec, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 436 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7742 Fax: 941-484-7756
Dr. Remo G. Gaudiel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 329 Nokomis Ave S, Venice, FL 34285 Phone: 941-484-9538 Fax: 941-484-1907
Matthew J Bonanno, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1295 Jacaranda Blvd, Venice, FL 34292 Phone: 941-484-1510 Fax: 941-484-1071
Melinda Beth Hart, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 195 Center Rd, Unit B, Venice, FL 34285 Phone: 941-492-6227 Fax: 941-492-6335

Dr Nicholas Tyler Champion, MD - Medicare Surgery in Venice, FL