Amy H Champ, OD - Medicare Optometrist in Prescott, AZ

Amy H Champ, OD is a medicare enrolled "Optometrist" provider in Prescott, Arizona. She went to Indiana University - School Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Southwestern Eye Center, Ltd and her current practice location is 3192 Willow Creek Rd, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 778-3950.

Amy H Champ is licensed to practice in Arizona (license number 0967) 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 1649238346.

Contact Information

Amy H Champ, OD
3192 Willow Creek Rd,
Prescott, AZ 86301-6610
(928) 778-3950
Not Available



Healthcare Provider's Profile

Full NameAmy H Champ
GenderFemale
SpecialityOptometry
Experience35 Years
Location3192 Willow Creek Rd, Prescott, Arizona
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:
  • Amy H Champ attended and graduated from Indiana University - School Of Optometry in 1989
  NPI Data:
  • NPI Number: 1649238346
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 04/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214948694
  • Enrollment ID: I20060523000099

Medical Identifiers

Medical identifiers for Amy H Champ such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649238346NPI-NPPES
437732MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0967 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwestern Eye Center, Ltd185029698998

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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. Amy H Champ allows following entities to bill medicare on her behalf.
Provider NameSouthwestern Eye Center, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20031203000181

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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. Amy H Champ 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
Amy H Champ, OD
3192 Willow Creek Rd,
Prescott, AZ 86301-6610

Ph: (928) 778-3950
Amy H Champ, OD
3192 Willow Creek Rd,
Prescott, AZ 86301-6610

Ph: (928) 778-3950

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Optometrist in Prescott, AZ

Derek Jeanes,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3192 Willow Creek Rd, Prescott, AZ 86301
Phone: 928-445-1234    Fax: 602-508-4830
Dr. Matthew Ryan Sullivan, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 980 Willow Creek Road, Suite 202, Prescott, AZ 86301
Phone: 928-778-3937    Fax: 928-778-3939
Dr. Patrick Allen Willer, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 3911 E State Route 69, Prescott, AZ 86301
Phone: 928-442-0707    
Dr. Frank V. Mellblom, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314
Phone: 928-445-4860    
Dr. Monica Rae Stotler, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1951 Commerce Center Cir, Unit A, Prescott, AZ 86301
Phone: 928-717-3259    
Geiler And Geiler, Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301
Phone: 928-445-2060    Fax: 925-445-2067
Steven Paley Od, Inc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1280 Gail Gardner Way, Prescott, AZ 86305
Phone: 928-541-7767    Fax: 928-541-9873

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