Shemika Champion, APRN is a medicare enrolled "Nurse Practitioner" physician in Charleston, South Carolina. Her current practice location is
171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 205-9403.
Shemika Champion is licensed to practice in South Carolina (license number 25189) 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 1215683891.
Physician's Profile
| Full Name | Shemika Champion |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 171 Ashley Ave, Charleston, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215683891
- Provider Enumeration Date: 02/23/2022
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759778046
- Enrollment ID: I20220505001680
Medical Identifiers
Medical identifiers for Shemika Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215683891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080C0008X | Pediatrics - Child Abuse Pediatrics | 25189 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 25189 (South Carolina) | 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. Shemika Champion allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291 |
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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. Shemika 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 |
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Shemika Champion, APRN
Po Box 751461,
Charlotte, NC 28275-1461
Ph: (843) 792-6200 | Shemika Champion, APRN
171 Ashley Ave,
Charleston, SC 29425-3708
Ph: (843) 205-9403 |
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