Champion State Of Mind Pllc - Medicare Mental Health Clinic in Estherville, IA

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Champion State Of Mind Pllc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Estherville, Iowa. The current practice location for Champion State Of Mind Pllc is 508 W Central Ave, Ste B, Estherville, Iowa. For appointments, you can reach them via phone at (800) 592-0180. The mailing address for Champion State Of Mind Pllc is Po Box 36, Estherville, Iowa and phone number is (800) 592-0180.

Champion State Of Mind Pllc is licensed to practice in Iowa (license number 001653). The clinic also participates in the medicare program and its NPI number is 1033578331. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (800) 592-0180.

Contact Information

Champion State Of Mind Pllc
508 W Central Ave
Ste B
Estherville
IA 51334-1834
(800) 592-0180
(712) 566-5229

Map and Direction


Mental Health Clinic Profile

Full NameChampion State Of Mind Pllc
SpecialityCounselor
Location508 W Central Ave, Estherville, Iowa
Authorized Official Name and PositionAmanda Olson (OWNER)
Authorized Official Contact8005920180
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Champion State Of Mind Pllc
Po Box 36
Estherville
IA 51334-0036

Ph: (800) 592-0180		Champion State Of Mind Pllc
508 W Central Ave
Ste B
Estherville
IA 51334-1834

Ph: (800) 592-0180

NPI Details:

NPI Number1033578331
Provider Enumeration Date02/15/2016
Last Update Date09/11/2018

Medicare PECOS Information:

Medicare PECOS PAC ID2860758372
Medicare Enrollment IDO20171115002508

Medical Identifiers

Medical identifiers for Champion State Of Mind Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033578331NPI-NPPES
1033578331MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 001653 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Champion State Of Mind Pllc acts as a billing entity for following providers:
Provider NameElizabeth Jean Jacobs
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376059022
PECOS PAC ID: 9335522077
Enrollment ID: I20221029000192

Reviews and Comments

Counselor in Estherville, IA


Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1820 Central Ave, Estherville, IA 51334
Phone: 712-340-7323    Fax: 712-560-9088

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.