Jaclyn Rae Collie, CRNP - Medicare Nurse Practitioner in Athens, AL

Jaclyn Rae Collie, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Athens, Alabama. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waddell Center Family Medicine and her current practice location is 902 W Washington St, Athens, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 216-9777.

Jaclyn Rae Collie is licensed to practice in Alabama (license number 1-153844) 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 1922509520.

Contact Information

Jaclyn Rae Collie, CRNP
902 W Washington St,
Athens, AL 35611-2438
(256) 216-9777
(256) 216-9776

Map and Direction




Provider's Profile

Full NameJaclyn Rae Collie
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location902 W Washington St, Athens, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Rae Collie graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1922509520
  • Provider Enumeration Date: 02/28/2018
  • Last Update Date: 09/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365799632
  • Enrollment ID: I20180717004094

Medical Identifiers

Medical identifiers for Jaclyn Rae Collie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922509520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-153844 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Athens Limestone HospitalAthens, ALHospital
Huntsville HospitalHuntsville, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Waddell Center Family Medicine35778325425

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 Rae Collie allows following entities to bill medicare on her behalf.
Entity NameAmerican Family Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157
Entity NameSleep & Pulmonary Care Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346406469
PECOS PAC ID: 5799850731
Enrollment ID: O20080826000497
Entity NameAlh Hospitalist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770992398
PECOS PAC ID: 7517289861
Enrollment ID: O20141124001005
Entity NameWaddell Center Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104353226
PECOS PAC ID: 3577832542
Enrollment ID: O20170706002696
Entity NameCovid Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770101990
PECOS PAC ID: 8628493962
Enrollment ID: O20200804002898

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 Rae 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 AddressPractice Location Address
Jaclyn Rae Collie, CRNP
111 Sarah Jane Dr,
Madison, AL 35757-7739

Ph: (314) 749-0001
Jaclyn Rae Collie, CRNP
902 W Washington St,
Athens, AL 35611-2438

Ph: (256) 216-9777

Reviews and Comments


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Phone: 256-233-9292    Fax: 256-233-9272

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.