Jeremy Antoine Colbert, RN is a
Registered Nurse based in Roberta, Georgia. Jeremy Antoine Colbert is licensed to practice in Georgia (license number 248362) and his current practice location is
10 Slade Dr, Roberta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 283-5472.
NPI number for Jeremy Antoine Colbert is 1356952717 and his current mailing address is Po Box 746, Roberta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356952717.
Provider's Profile
| Full Name | Jeremy Antoine Colbert |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 10 Slade Dr, Roberta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356952717
- Provider Enumeration Date: 08/11/2020
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Jeremy Antoine Colbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356952717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 248362 (Georgia) | 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. Jeremy Antoine Colbert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeremy Antoine Colbert, RN
Po Box 746,
Roberta, GA 31078-0746
Ph: (478) 283-5472 | Jeremy Antoine Colbert, RN
10 Slade Dr,
Roberta, GA 31078-7809
Ph: (478) 283-5472 |
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