Timothy R Collins, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Ohio. His current practice location is
3929 Rocky River Dr, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 252-5800.
Timothy R Collins is licensed to practice in Ohio (license number I.2103188) 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 1104228642.
Healthcare Provider's Profile
| Full Name | Timothy R Collins |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3929 Rocky River Dr, Cleveland, Ohio |
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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: 1104228642
- Provider Enumeration Date: 09/16/2014
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719329044
- Enrollment ID: I20240531001039
Medical Identifiers
Medical identifiers for Timothy R Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104228642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | I.2103188 (Ohio) | Secondary |
| 104100000X | Social Worker | S 1450685 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2103188 (Ohio) | 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. Timothy R Collins allows following entities to bill medicare on his behalf.
| Entity Name | Circle Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386609857
PECOS PAC ID: 7517102478
Enrollment ID: O20140506000706 |
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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. Timothy R Collins 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 |
|---|
Timothy R Collins, LISW-S
27391 Detroit Rd, Apt C34,
Westlake, OH 44145-2278
Ph: (216) 647-1941 | Timothy R Collins, LISW-S
3929 Rocky River Dr,
Cleveland, OH 44111-4153
Ph: (216) 252-5800 |
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