Dr Lewis Embry Collins Jr, PHD is a medicare enrolled "Psychologist" provider in Berkeley Lake, Georgia. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
4530 S Berkeley Lake Rd, Ste B, Berkeley Lake, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 446-5642.
Dr Lewis Embry Collins Jr is licensed to practice in Georgia (license number PSY 0892) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235204991.
Healthcare Provider's Profile
| Full Name | Dr Lewis Embry Collins Jr |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 43 Years |
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| Location | 4530 S Berkeley Lake Rd, Berkeley Lake, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lewis Embry Collins Jr graduated from medical school in 1981
NPI Data:
- NPI Number: 1235204991
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 06/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 1355496332
- Enrollment ID: I20090826000662
Medical Identifiers
Medical identifiers for Dr Lewis Embry Collins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235204991 | NPI | - | NPPES |
| 000546356B | Medicaid | GA | |
| 000546356C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY 0892 (Georgia) | 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 Lewis Embry Collins Jr allows following entities to bill medicare on his behalf.
| Entity Name | L. Embry Collins, Jr., Phd, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215169883
PECOS PAC ID: 3870648850
Enrollment ID: O20090826000677 |
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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 Lewis Embry Collins Jr 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 |
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Dr Lewis Embry Collins Jr, PHD
4530 S Berkeley Lake Rd, Suite B,
Norcross, GA 30071-1660
Ph: (770) 446-5642 | Dr Lewis Embry Collins Jr, PHD
4530 S Berkeley Lake Rd, Ste B,
Berkeley Lake, GA 30071-1657
Ph: (770) 446-5642 |
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