Dr Colleen Lucy Channick, MD in Santa Monica, CA

Dr Colleen Lucy Channick, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Santa Monica, California. She went to Harvard Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice The Regents Of The University Of California and her current practice location is 1223 16th St Ste 3400, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 449-0939.

Dr Colleen Lucy Channick is licensed to practice in California (license number A64140) 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 1023043775.

Contact Information

	Dr Colleen Lucy Channick, MD
	1223 16th St Ste 3400, Santa Monica, CA 90404-1279
	(310) 449-0939
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Colleen Lucy Channick
Gender	Female
Speciality	Pulmonary Disease
Experience	28 Years
Location	1223 16th St Ste 3400, Santa Monica, California
Accepts Medicare Assignments	Yes. 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 Colleen Lucy Channick attended and graduated from Harvard Medical School in 1996

NPI Data:

NPI Number: 1023043775
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/05/2019

Medicare PECOS Information:

PECOS PAC ID: 6507884293
Enrollment ID: I20051110001008

Medical Identifiers

Medical identifiers for Dr Colleen Lucy Channick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023043775	NPI	-	NPPES
00A641400	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A64140 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	A64140 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	A64140 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355248584	1177

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 Colleen Lucy Channick allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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 Colleen Lucy Channick 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
Dr Colleen Lucy Channick, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Colleen Lucy Channick, MD 1223 16th St Ste 3400, Santa Monica, CA 90404-1279 Ph: (310) 449-0939

Reviews and Comments

Internal Medicine Doctors in Santa Monica, CA

Irawan Susanto, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790
Louis Ravitz, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533
Janet Winikoff, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165
Dr. Sean Dooley, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745
Lorraine Anderson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599
Carol Yukiko Nishikubo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885

Dr Colleen Lucy Channick, MD - Medicare Pulmonary Disease in Santa Monica, CA