Champ Phuphanich, FNP in Houma, LA - Medicare Nurse Practitioner

Champ Phuphanich, FNP is a medicare enrolled "Nurse Practitioner - Family" in Houma, Louisiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Independence Emergency Group Llc, St Mary Emergency Group Llc and his current practice location is 1990 Industrial Blvd, Houma, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 868-9300.

Champ Phuphanich is licensed to practice in Louisiana (license number 224407) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023765427.

Contact Information

	Champ Phuphanich, FNP
	1990 Industrial Blvd, Houma, LA 70363-7055
	(985) 868-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Champ Phuphanich
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1990 Industrial Blvd, Houma, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Champ Phuphanich graduated from nursing school in 2021

NPI Data:

NPI Number: 1023765427
Provider Enumeration Date: 03/04/2022
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 6002295276
Enrollment ID: I20220617001183

Medical Identifiers

Medical identifiers for Champ Phuphanich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023765427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	224407 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tulane Medical Center	New orleans, LA	Hospital
Ochsner St Mary	Morgan city, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independence Emergency Group Llc	4284759325	16
St Mary Emergency Group Llc	7810926995	15

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. Champ Phuphanich allows following entities to bill medicare on his behalf.

Entity Name	South Louisiana Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589

Entity Name	St Mary Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235108499 PECOS PAC ID: 7810926995 Enrollment ID: O20050809000607

Entity Name	Independence Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528384773 PECOS PAC ID: 4284759325 Enrollment ID: O20100914000327

Entity Name	Bayoumd Urgent Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306628508 PECOS PAC ID: 6507217452 Enrollment ID: O20240104004400

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. Champ Phuphanich 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
Champ Phuphanich, FNP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: () -	Champ Phuphanich, FNP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 868-9300

Reviews and Comments

Nurse Practitioner Nurses in Houma, LA

Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162
Caroline Hebert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786
Shawn M Keller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020

Champ Phuphanich, FNP - Medicare Nurse Practitioner in Houma, LA