Mr Eddie Lee Collins Jr, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Ellenton, Florida. His current practice location is
4143 Day Bridge Pl, Ellenton, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 348-4059.
Mr Eddie Lee Collins Jr is licensed to practice in Florida (license number MH 8552) 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 1700835352.
Healthcare Provider's Profile
| Full Name | Mr Eddie Lee Collins Jr |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 4143 Day Bridge Pl, Ellenton, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700835352
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224476494
- Enrollment ID: I20240406000400
Medical Identifiers
Medical identifiers for Mr Eddie Lee Collins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700835352 | NPI | - | NPPES |
| 756291800 | Medicaid | FL | |
| 767380900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH8552 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH-8552 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH 8552 (Florida) | 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 Eddie Lee Collins Jr allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Mr Eddie Lee Collins Jr 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 Eddie Lee Collins Jr, LMHC
4143 Day Bridge Pl,
Ellenton, FL 34222-7236
Ph: (941) 348-4059 | Mr Eddie Lee Collins Jr, LMHC
4143 Day Bridge Pl,
Ellenton, FL 34222-7236
Ph: (941) 348-4059 |
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