Tyler Champion, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Orleans, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2018 and has 7 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is
2000 Canal St, New Orleans, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(504) 702-3000.
Tyler Champion is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407350226.
Physician's Profile
| Full Name | Tyler Champion |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 7 Years |
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| Location | 2000 Canal St, New Orleans, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Champion attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2018
NPI Data:
- NPI Number: 1407350226
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072860170
- Enrollment ID: I20210716000202
Medical Identifiers
Medical identifiers for Tyler Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407350226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 325967 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
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. Tyler Champion allows following entities to bill medicare on his behalf.
| Entity Name | Our Lady Of The Lake Physician Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377 |
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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. 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 |
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Tyler Champion,
140 Firethorn Dr,
Gretna, LA 70056-7848
Ph: () - | Tyler Champion,
2000 Canal St,
New Orleans, LA 70112-3018
Ph: (504) 702-3000 |
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