Todd Andrew Champlin, PT in Fort Campbell, KY - Medicare Physical Therapist Provider

Todd Andrew Champlin, PT is a medicare enrolled "Physical Therapist" provider in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-8106.

Todd Andrew Champlin is licensed to practice in Indiana (license number 05006761A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285667592.

Contact Information

	Todd Andrew Champlin, PT
	650 Joel Dr, Fort Campbell, KY 42223-5318
	(270) 798-8106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Todd Andrew Champlin
Gender	Male
Speciality	Physical Therapist
Location	650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285667592
Provider Enumeration Date: 07/09/2006
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4385642867
Enrollment ID: I20061116000321

Medical Identifiers

Medical identifiers for Todd Andrew Champlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285667592	NPI	-	NPPES
05006761A	Other	IN	PHYSICAL THERAPIST LICENS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05006761A (Indiana)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	36000646A (Indiana)	Secondary

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. Todd Andrew Champlin allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehab Indiana Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043568942 PECOS PAC ID: 9436303559 Enrollment ID: O20130214000146

Provider Name	Indiana Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316627722 PECOS PAC ID: 8527421346 Enrollment ID: O20230828001208

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. Todd Andrew Champlin 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
Todd Andrew Champlin, PT 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8106	Todd Andrew Champlin, PT 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8106

Reviews and Comments

Physical Therapist in Fort Campbell, KY

Mackenzie Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8823
Kasey Marie Phillips, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 931-308-8472
Patricia Stacie Barlow, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-1995
Lydia Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-298-4945
Jennifer Wardynski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8372
Mr. Charles Blake, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180
Erica Michelle Fallon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8102

Todd Andrew Champlin, PT - Medicare Physical Therapist in Fort Campbell, KY