Amy H Champ, OD in Prescott, AZ - Medicare Optometry Provider

Amy H Champ, OD is a medicare enrolled "Optometrist" provider in Prescott, Arizona. She went to Indiana University - School Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Southwestern Eye Center, Ltd and her current practice location is 3192 Willow Creek Rd, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 778-3950.

Amy H Champ is licensed to practice in Arizona (license number 0967) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649238346.

Contact Information

	Amy H Champ, OD
	3192 Willow Creek Rd, Prescott, AZ 86301-6610
	(928) 778-3950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy H Champ
Gender	Female
Speciality	Optometry
Experience	35 Years
Location	3192 Willow Creek Rd, Prescott, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy H Champ attended and graduated from Indiana University - School Of Optometry in 1989

NPI Data:

NPI Number: 1649238346
Provider Enumeration Date: 05/02/2006
Last Update Date: 04/20/2016

Medicare PECOS Information:

PECOS PAC ID: 7214948694
Enrollment ID: I20060523000099

Medical Identifiers

Medical identifiers for Amy H Champ such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649238346	NPI	-	NPPES
437732	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0967 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwestern Eye Center, Ltd	1850296989	102

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. Amy H Champ allows following entities to bill medicare on her behalf.

Provider Name	Southwestern Eye Center, Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181

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. Amy H Champ 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
Amy H Champ, OD 3192 Willow Creek Rd, Prescott, AZ 86301-6610 Ph: (928) 778-3950	Amy H Champ, OD 3192 Willow Creek Rd, Prescott, AZ 86301-6610 Ph: (928) 778-3950

Reviews and Comments

Optometrist in Prescott, AZ

Derek Jeanes, Optometrist Medicare: Medicare Enrolled Practice Location: 3192 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-1234 Fax: 602-508-4830
Dr. Matthew Ryan Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 Willow Creek Road, Suite 202, Prescott, AZ 86301 Phone: 928-778-3937 Fax: 928-778-3939
Dr. Patrick Allen Willer, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 E State Route 69, Prescott, AZ 86301 Phone: 928-442-0707
Dr. Frank V. Mellblom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314 Phone: 928-445-4860
Dr. Monica Rae Stotler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1727 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-717-3259
Geiler And Geiler, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301 Phone: 928-445-2060 Fax: 925-445-2067
Jonathan Lam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7477

Amy H Champ, OD - Medicare Optometrist in Prescott, AZ