Edgar (ted) King Collison Iv, MD - Surgery in Green Bay, WI

Edgar (ted) King Collison Iv, MD is a Surgery physician based in Green Bay, Wisconsin. Edgar (ted) King Collison Iv is licensed to practice in Wisconsin (license number 54369-020) and his current practice location is 1715 Dousman St, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 496-4700.

NPI number for Edgar (ted) King Collison Iv is 1043541154 and his current mailing address is 1715 Dousman St, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043541154.

Contact Information

Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameEdgar (ted) King Collison Iv
GenderMale
SpecialitySurgery
Location1715 Dousman St, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043541154
  • Provider Enumeration Date: 01/29/2010
  • Last Update Date: 12/16/2021

Medical Identifiers

Medical identifiers for Edgar (ted) King Collison Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043541154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 336.084547 (Illinois)Secondary
208600000XSurgery 54369-020 (Wisconsin)Primary

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. Edgar (ted) King Collison Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211

Ph: (920) 496-4700
Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211

Ph: (920) 496-4700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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