Dr Carisa Rose Champion, DO, JD, MPH is a medicare enrolled "Plastic Surgery" physician in East Norriton, Pennsylvania. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility and her current practice location is
2701 Dekalb Pike, East Norriton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(727) 510-6593.
Dr Carisa Rose Champion is licensed to practice in Oklahoma (license number 7928) 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 1053765321.
Physician's Profile
| Full Name | Dr Carisa Rose Champion |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 9 Years |
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| Location | 2701 Dekalb Pike, East Norriton, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carisa Rose Champion graduated from medical school in 2016
NPI Data:
- NPI Number: 1053765321
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496046427
- Enrollment ID: I20240724004229
Medical Identifiers
Medical identifiers for Dr Carisa Rose Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053765321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 7928 (Oklahoma) | Secondary |
| 208600000X | Surgery | 7928 (Oklahoma) | Secondary |
| 208200000X | Plastic Surgery | 7928 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
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 Carisa Rose Champion allows following entities to bill medicare on her behalf.
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210 |
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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 Carisa Rose 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 |
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Dr Carisa Rose Champion, DO, JD, MPH
2701 Dekalb Pike,
East Norriton, PA 19401-1820
Ph: (727) 510-6593 | Dr Carisa Rose Champion, DO, JD, MPH
2701 Dekalb Pike,
East Norriton, PA 19401-1820
Ph: (727) 510-6593 |
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