Marie Ruth Champlin, DO - Medicare Psychiatry & Neurology in Concord, CA

Marie Ruth Champlin, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Concord, California. Her current practice location is 1420 Willow Pass Rd Ste 200, Concord, California. You can reach out to her office (for appointments etc.) via phone at (925) 646-5480.

Marie Ruth Champlin is licensed to practice in California (license number 20A16641) 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 1164718276.

Contact Information

Marie Ruth Champlin, DO
1420 Willow Pass Rd Ste 200,
Concord, CA 94520-5823
(925) 646-5480
Not Available

Map and Direction




Physician's Profile

Full NameMarie Ruth Champlin
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1420 Willow Pass Rd Ste 200, Concord, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164718276
  • Provider Enumeration Date: 06/27/2011
  • Last Update Date: 01/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597005850
  • Enrollment ID: I20190322001809

Medical Identifiers

Medical identifiers for Marie Ruth Champlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164718276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 20A16641 (California)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 558870 (Texas)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. Marie Ruth Champlin allows following entities to bill medicare on her behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameContra Costa County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376620336
PECOS PAC ID: 8628052974
Enrollment ID: O20050707001058
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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. Marie Ruth 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 AddressPractice Location Address
Marie Ruth Champlin, DO
1420 Willow Pass Rd Ste 200,
Concord, CA 94520-5823

Ph: (925) 646-5480
Marie Ruth Champlin, DO
1420 Willow Pass Rd Ste 200,
Concord, CA 94520-5823

Ph: (925) 646-5480

Reviews and Comments


Psychiatry & Neurology Doctors in Concord, CA

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Phone: 925-676-8260    Fax: 925-253-7596
Jessica Lee, M.D., MPH
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Practice Location: 2425 Bisso Ln, Suite 200, Concord, CA 94520
Phone: 925-521-5758    
Vivian Sun, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1420 Willow Pass Rd, Suite 200, Concord, CA 94520
Phone: 925-646-5480    

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.