Jaclyn C Collins, FNP is a medicare enrolled "Nurse Practitioner - Family" in Young Harris, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is
1155 Main St, Young Harris, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 439-6873.
Jaclyn C Collins is licensed to practice in Georgia (license number RN208019) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124424536.
Provider's Profile
| Full Name | Jaclyn C Collins |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1155 Main St, Young Harris, Georgia |
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| Accepts Medicare Assignments | Yes. She 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:
- Jaclyn C Collins graduated from nursing school in 2014
NPI Data:
- NPI Number: 1124424536
- Provider Enumeration Date: 11/12/2014
- Last Update Date: 01/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345569232
- Enrollment ID: I20150427000968
Medical Identifiers
Medical identifiers for Jaclyn C Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124424536 | NPI | - | NPPES |
| 003161419A | Medicaid | GA | |
| 1124424536 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN208019 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
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. Jaclyn C Collins allows following entities to bill medicare on her behalf.
| Entity Name | Hillcrest Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831370188
PECOS PAC ID: 6901700152
Enrollment ID: O20031120000566 |
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| Entity Name | Chatuge Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326028978
PECOS PAC ID: 0840196523
Enrollment ID: O20031211001052 |
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| Entity Name | Union County Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487684122
PECOS PAC ID: 3779490503
Enrollment ID: O20040102000231 |
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| Entity Name | Privia Medical Group Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983 |
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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. Jaclyn C 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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Jaclyn C Collins, FNP
35 Hospital Rd,
Blairsville, GA 30512-3139
Ph: (706) 745-2111 | Jaclyn C Collins, FNP
1155 Main St,
Young Harris, GA 30582
Ph: (706) 439-6873 |
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