Caroline Nicole Champion, is a medicare enrolled "Physical Therapist" provider in Cedar Park, Texas. Her current practice location is
109 Cypress Creek Rd Ste B1, Cedar Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 918-0444.
Caroline Nicole Champion is licensed to practice in Texas (license number 1386326) 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 1780197434.
Healthcare Provider's Profile
| Full Name | Caroline Nicole Champion |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 109 Cypress Creek Rd Ste B1, Cedar Park, Texas |
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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: 1780197434
- Provider Enumeration Date: 11/15/2017
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456704816
- Enrollment ID: I20240201001793
Medical Identifiers
Medical identifiers for Caroline Nicole Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780197434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 23497 (Oregon) | Secondary |
| 225100000X | Physical Therapist | 1386326 (Texas) | 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. Caroline Nicole Champion allows following entities to bill medicare on her behalf.
| Provider Name | Texas Physical Therapy Specialists |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1689781338
PECOS PAC ID: 2567422538
Enrollment ID: O20041013001437 |
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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. Caroline Nicole 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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Caroline Nicole Champion,
1650 Lyndon Farm Ct Ste 300,
Louisville, KY 40223-5005
Ph: (726) 202-3039 | Caroline Nicole Champion,
109 Cypress Creek Rd Ste B1,
Cedar Park, TX 78613-4477
Ph: (512) 918-0444 |
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