Ms Annette J Champion, MA, CCC-SLP in Bloomington, IN - Medicare Speech-Language Pathologist Provider

Ms Annette J Champion, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bloomington, Indiana. Her current practice location is 200 S Jordan Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 855-6251.

Ms Annette J Champion is licensed to practice in Indiana (license number 22003278A) 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 1205827797.

Contact Information

	Ms Annette J Champion, MA, CCC-SLP
	200 S Jordan Ave, Bloomington, IN 47405-7002
	(812) 855-6251
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Annette J Champion
Gender	Female
Speciality	Speech-language Pathologist
Location	200 S Jordan Ave, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205827797
Provider Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648569434
Enrollment ID: I20160518000698

Medical Identifiers

Medical identifiers for Ms Annette J Champion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205827797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22003278A (Indiana)	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. Ms Annette J Champion allows following entities to bill medicare on her behalf.

Provider Name	Indiana University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982693743 PECOS PAC ID: 6002806957 Enrollment ID: O20160419002338

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. Ms Annette J 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
Ms Annette J Champion, MA, CCC-SLP 200 S Jordan Ave, Bloomington, IN 47405-7002 Ph: (812) 855-6251	Ms Annette J Champion, MA, CCC-SLP 200 S Jordan Ave, Bloomington, IN 47405-7002 Ph: (812) 855-6251

Reviews and Comments

Speech-Language Pathologist in Bloomington, IN

Daniel Fogerty, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858
Ms. Bettina R Manuel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 E Tapps Turn, Bloomington, IN 47401 Phone: 812-322-7771 Fax: 812-855-5561
Ms. Melanie Jill Mazur, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Jordan Ave, Bloomington, IN 47405 Phone: 812-855-3605
Lillian Martindale, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 443 S Landmark Ave, Bloomington, IN 47403 Phone: 812-676-7000
Bell Trace Health And Living Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 Fax: 812-323-2854
Doreen Dotlich Devitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-330-6700
Chelsea Silverman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2455 N Tamarack Trl, Bloomington, IN 47408 Phone: 812-336-7060

Ms Annette J Champion, MA, CCC-SLP - Medicare Speech-Language Pathologist in Bloomington, IN