Edsmond Jerry Collins, PA PHD is a medicare enrolled "Physician Assistant" in Ssf, California. His current practice location is
3 South Linden Ave, Ssf, California. You can reach out to his office (for appointments etc.) via phone at
(650) 589-2647.
Edsmond Jerry Collins is licensed to practice in California (license number PA10067) 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 1295891547.
Provider's Profile
| Full Name | Edsmond Jerry Collins |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3 South Linden Ave, Ssf, California |
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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: 1295891547
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355628116
- Enrollment ID: I20170503001490
Medical Identifiers
Medical identifiers for Edsmond Jerry Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295891547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA10067 (California) | 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. Edsmond Jerry 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 |
|---|
Edsmond Jerry Collins, PA PHD
3900 Doral Dr,
Fairfield, CA 94533
Ph: (707) 425-2824 | Edsmond Jerry Collins, PA PHD
3 South Linden Ave,
Ssf, CA 94080
Ph: (650) 589-2647 |
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