Jeffrey M Collins, is a medicare enrolled "Family Medicine" physician in Plain, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sauk Prairie Healthcare Inc and his current practice location is
825 Main St, Plain, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 546-4211.
Jeffrey M Collins is licensed to practice in Wisconsin (license number 40101) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710953583.
Physician's Profile
| Full Name | Jeffrey M Collins |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 825 Main St, Plain, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeffrey M Collins attended and graduated from University Of Wisconsin School Of Medicine in 1997
NPI Data:
- NPI Number: 1710953583
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749327484
- Enrollment ID: I20091028000642
Medical Identifiers
Medical identifiers for Jeffrey M Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710953583 | NPI | - | NPPES |
| 080155015 | Other | WI | RAILROAD MEDICARE |
| 32603600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 40101 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sauk Prairie Healthcare Inc | 8224948054 | 81 |
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. Jeffrey M Collins allows following entities to bill medicare on his behalf.
| Entity Name | Sauk Prairie Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206 |
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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. Jeffrey M 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 |
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Jeffrey M Collins,
825 Main St,
Plain, WI 53577-9668
Ph: (608) 546-4211 | Jeffrey M Collins,
825 Main St,
Plain, WI 53577-9668
Ph: (608) 546-4211 |
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