Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS in Jackson, TN

Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Jackson, Tennessee. His current practice location is 200 Martin Luther King Jr. Dr., #7730, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 300-1104.

Mr Courtney Dwayne Collier is licensed to practice in Tennessee (license number 1600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114433281.

Contact Information

	Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS
	200 Martin Luther King Jr. Dr., #7730, Jackson, TN 38302
	(731) 300-1104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Courtney Dwayne Collier
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	200 Martin Luther King Jr. Dr., Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114433281
Provider Enumeration Date: 12/27/2017
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1254873813
Enrollment ID: I20240611001409

Medical Identifiers

Medical identifiers for Mr Courtney Dwayne Collier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114433281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	TN-068 (Tennessee)	Secondary
101YM0800X	Counselor - Mental Health	7385 (Tennessee)	Secondary
175T00000X	Peer Specialist	000-1142 (Tennessee)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1600 (Tennessee)	Primary

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. Mr Courtney Dwayne Collier allows following entities to bill medicare on his behalf.

Entity Name	Hopefield Healthcare Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932645991 PECOS PAC ID: 6002191947 Enrollment ID: O20170316000707

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. Mr Courtney Dwayne Collier 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
Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS 200 Martin Luther King Jr. Dr., #7730, Jackson, TN 38302 Ph: (731) 300-1104	Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS 200 Martin Luther King Jr. Dr., #7730, Jackson, TN 38302 Ph: (731) 300-1104

Reviews and Comments

Counselor in Jackson, TN

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Mr Courtney Dwayne Collier, CADC, NCC, MBA, CPRS - Medicare Counselor in Jackson, TN