Mrs Christiann Michelle Collins, RD is a medicare enrolled "Dietitian, Registered" in Portland, Oregon. Her current practice location is
5211 Ne Glisan St Bldg C, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 215-6628.
Mrs Christiann Michelle Collins is licensed to practice in Oregon (license number LD-D-10182758) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205029345.
Provider's Profile
Full Name | Mrs Christiann Michelle Collins |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 5211 Ne Glisan St Bldg C, Portland, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205029345
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274628466
- Enrollment ID: I20180122002385
Medical Identifiers
Medical identifiers for Mrs Christiann Michelle Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205029345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WD0400X | Registered Nurse - Diabetes Educator | LD-D-10182758 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | LD-D-10182758 (Oregon) | Primary |
133V00000X | Dietitian, Registered | DI00001998 (Washington) | Secondary |
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. Mrs Christiann Michelle Collins allows following entities to bill medicare on her behalf.
Entity Name | Providence Health & Services Oregon |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
---|
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. Mrs Christiann Michelle 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 |
Mrs Christiann Michelle Collins, RD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Mrs Christiann Michelle Collins, RD 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 Ph: (503) 215-6628 |
Reviews and Comments