Dr Bernice Laverne Collins, PHD is a medicare enrolled "Psychologist - Clinical" provider in East Saint Louis, Illinois. Her current practice location is
605 Vogel Pl, East Saint Louis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 482-7990.
Dr Bernice Laverne Collins is licensed to practice in Illinois (license number ) 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 1073529020.
Healthcare Provider's Profile
Full Name | Dr Bernice Laverne Collins |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 605 Vogel Pl, East Saint Louis, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073529020
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1658569421
- Enrollment ID: I20101221000107
Medical Identifiers
Medical identifiers for Dr Bernice Laverne Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073529020 | NPI | - | NPPES |
08272004 | Other | IL | BLUE CROSS/BLUE SHIELD # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | (Illinois) | 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. Dr Bernice Laverne 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 |
Dr Bernice Laverne Collins, PHD 605 Vogel Pl, East Saint Louis, IL 62205-2132 Ph: (618) 482-7990 | Dr Bernice Laverne Collins, PHD 605 Vogel Pl, East Saint Louis, IL 62205-2132 Ph: (618) 482-7990 |
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