Ms Thea S Collin, MS,PNP,CS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent based in Conway, South Carolina. Ms Thea S Collin is licensed to practice in South Carolina (license number APN780) and her current practice location is
907 Bell St, Conway, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 248-2727.
NPI number for Ms Thea S Collin is 1639255078 and her current mailing address is 5105 Columbia St, Conway, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639255078.
Provider's Profile
| Full Name | Ms Thea S Collin |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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| Location | 907 Bell St, Conway, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639255078
- Provider Enumeration Date: 10/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Thea S Collin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639255078 | NPI | - | NPPES |
| APN780 | Other | SC | LICENSE NO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APN780 (South Carolina) | Primary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | APN780 (South Carolina) | 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. Ms Thea S Collin 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 |
|---|
Ms Thea S Collin, MS,PNP,CS
5105 Columbia St,
Conway, SC 29526-8607
Ph: () - | Ms Thea S Collin, MS,PNP,CS
907 Bell St,
Conway, SC 29526-4113
Ph: (843) 248-2727 |
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