Jacob Collie, DO in Dayton, OH - Medicare Pathology

Jacob Collie, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Dayton, Ohio. His current practice location is 4881 Sugar Maple Dr, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-2785.

Jacob Collie is licensed to practice in Nebraska (license number 1412) 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 1952716276.

Contact Information

	Jacob Collie, DO
	4881 Sugar Maple Dr, Dayton, OH 45433-5529
	(937) 257-2785
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Collie
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	4881 Sugar Maple Dr, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952716276
Provider Enumeration Date: 06/25/2014
Last Update Date: 07/31/2018

Medicare PECOS Information:

PECOS PAC ID: 5799192126
Enrollment ID: I20240429001366

Medical Identifiers

Medical identifiers for Jacob Collie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952716276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	1412 (Nebraska)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	1412 (Nebraska)	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. Jacob Collie allows following entities to bill medicare on his behalf.

Entity Name	Forward Pathology Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982266391 PECOS PAC ID: 2668703109 Enrollment ID: O20191014002724

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. Jacob Collie 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
Jacob Collie, DO 4881 Sugar Maple Dr, Dayton, OH 45433-5529 Ph: () -	Jacob Collie, DO 4881 Sugar Maple Dr, Dayton, OH 45433-5529 Ph: (937) 257-2785

Reviews and Comments

Pathology Doctors in Dayton, OH

Rebecca R. Balaj, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2978 Fax: 937-208-6137
Dr. Ronald C Chiu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming Street, Pathology Lab, Dayton, OH 45409 Phone: 937-208-2978
Dr. Michael Benjamin Gentry, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Dayton, OH 45429 Phone: 937-395-8849
Paul G Koles, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3640 Colonel Glenn Hwy, 125 White Hall, Dayton, OH 45435 Phone: 937-775-2625 Fax: 937-775-2633
Patrick J Connelly, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2777
Mrs. Sharda Gupta, MD Pathology Medicare: Medicare Enrolled Practice Location: 5895 Batsford Drive, Dayton, OH 45459 Phone: 937-433-6883 Fax: 937-433-6883
Dr. Manibha Banerjee, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-6251

Jacob Collie, DO - Medicare Pathology in Dayton, OH