Dr Kimberly Collins, PHD in Champaign, IL - Medicare Psychologist Provider

Dr Kimberly Collins, PHD is a medicare enrolled "Psychologist" provider in Champaign, Illinois. Her current practice location is 1802 S Mattis Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 365-2855.

Dr Kimberly Collins is licensed to practice in Illinois (license number 071005299) 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 1568144111.

Contact Information

	Dr Kimberly Collins, PHD
	1802 S Mattis Ave, Champaign, IL 61821-5923
	(217) 365-2855
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Collins
Gender	Female
Speciality	Psychologist
Location	1802 S Mattis Ave, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568144111
Provider Enumeration Date: 08/03/2023
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 2567816606
Enrollment ID: I20230924000079

Medical Identifiers

Medical identifiers for Dr Kimberly Collins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568144111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	071005299 (Illinois)	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. Dr Kimberly Collins allows following entities to bill medicare on her behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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 Kimberly 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 Kimberly Collins, PHD 611 W Park St, Fapc, Urbana, IL 61801 Ph: () -	Dr Kimberly Collins, PHD 1802 S Mattis Ave, Champaign, IL 61821-5923 Ph: (217) 365-2855

Reviews and Comments

Psychologist in Champaign, IL

Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875
Dr. Dynesha Dione Mason-grissom, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2500 Galen Dr Ste 104, Champaign, IL 61821 Phone: 217-693-6072
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855

Dr Kimberly Collins, PHD - Medicare Psychologist in Champaign, IL