Dr Amanda Hope Champlain, MD - Medicare Dermatology in Frisco, TX

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Dr Amanda Hope Champlain, MD is a medicare enrolled "Dermatology" physician in Frisco, Texas. She went to University Of Oklahoma College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Revival Dermatology Pllc and her current practice location is 4685 Eldorado Pkwy Ste 100, Frisco, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 335-2727.

Dr Amanda Hope Champlain is licensed to practice in Texas (license number S1782) 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 1003180993.

Contact Information

Dr Amanda Hope Champlain, MD
4685 Eldorado Pkwy Ste 100,
Frisco, TX 75033-0289
(972) 335-2727
(972) 668-8444

Map and Direction




Physician's Profile

Full NameDr Amanda Hope Champlain
GenderFemale
SpecialityDermatology
Experience13 Years
Location4685 Eldorado Pkwy Ste 100, Frisco, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Amanda Hope Champlain attended and graduated from University Of Oklahoma College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1003180993
  • Provider Enumeration Date: 02/24/2012
  • Last Update Date: 10/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375846348
  • Enrollment ID: I20190913002918

Medical Identifiers

Medical identifiers for Dr Amanda Hope Champlain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003180993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology S1782 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revival Dermatology Pllc71133211673

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. Dr Amanda Hope Champlain allows following entities to bill medicare on her behalf.
Entity NamePdp Of Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629025739
PECOS PAC ID: 2466455050
Enrollment ID: O20060822000094
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189
Entity NameRevival Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679149702
PECOS PAC ID: 7113321167
Enrollment ID: O20210812001699

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. Dr Amanda Hope Champlain 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
Dr Amanda Hope Champlain, MD
4685 Eldorado Pkwy Ste 100,
Frisco, TX 75033-0289

Ph: (972) 335-2727		Dr Amanda Hope Champlain, MD
4685 Eldorado Pkwy Ste 100,
Frisco, TX 75033-0289

Ph: (972) 335-2727

Reviews and Comments


Dermatology Doctors in Frisco, TX

Dr. Carla Gustovich, MD
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Phone: 972-668-3376    Fax: 972-668-7546
Rachel Heather Quinby-graves, M.D.
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Practice Location: 13192 Dallas Pkwy Ste 620, Frisco, TX 75033
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Dr. Lucy Li, MD
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Practice Location: 9191 Kyser Way Bldg 3 Ste B, Frisco, TX 75034
Phone: 972-712-3131    Fax: 972-712-7171
Dr. Timothy Rodgers,
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Phone: 972-704-2400    
Dr. Jennifer Warner Dharamsi, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3140 Legacy Drive, Suite 110, Frisco, TX 75034
Phone: 972-469-2626    Fax: 972-469-2818
Rachael Free Earnest, MD
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Practice Location: 3140 Legacy Dr Ste 110, Frisco, TX 75034
Phone: 972-469-2626    Fax: 972-469-2818

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.