Mrs Jacqueline Faith Collard, RN, PNP in Niagara Falls, NY

Mrs Jacqueline Faith Collard, RN, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Niagara Falls, New York. Her current practice location is 501 10th St, Niagara Falls, New York. You can reach out to her office (for appointments etc.) via phone at (716) 285-0045.

Mrs Jacqueline Faith Collard is licensed to practice in New York (license number F381666) 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 1457501207.

Contact Information

	Mrs Jacqueline Faith Collard, RN, PNP
	501 10th St, Niagara Falls, NY 14301-1800
	(716) 285-0045
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Faith Collard
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	501 10th St, Niagara Falls, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457501207
Provider Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008

Medicare PECOS Information:

PECOS PAC ID: 4183051782
Enrollment ID: I20200220000849

Medical Identifiers

Medical identifiers for Mrs Jacqueline Faith Collard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457501207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	520157 (New York)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	F381666 (New York)	Primary

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 Jacqueline Faith Collard allows following entities to bill medicare on her behalf.

Entity Name	Kaleida Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212

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 Jacqueline Faith Collard 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 Jacqueline Faith Collard, RN, PNP 501 10th St, Niagara Falls, NY 14301-1800 Ph: (716) 285-0045	Mrs Jacqueline Faith Collard, RN, PNP 501 10th St, Niagara Falls, NY 14301-1800 Ph: (716) 285-0045

Reviews and Comments

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Mrs Jacqueline Faith Collard, RN, PNP - Medicare Nurse Practitioner in Niagara Falls, NY