Jason Collins, SSP is a
Psychologist - School based in Eureka, Illinois. Jason Collins is licensed to practice in * (Not Available) (license number ) and his current practice location is
719 S Forest Park Dr, Eureka, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 258-7607.
NPI number for Jason Collins is 1457029027 and his current mailing address is 719 S Forest Park Dr, Eureka, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457029027.
Healthcare Provider's Profile
Full Name | Jason Collins |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 719 S Forest Park Dr, Eureka, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457029027
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 08/31/2021
Medical Identifiers
Medical identifiers for Jason Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457029027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | 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. Jason Collins 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 |
Jason Collins, SSP 719 S Forest Park Dr, Eureka, IL 61530-1513 Ph: () - | Jason Collins, SSP 719 S Forest Park Dr, Eureka, IL 61530-1513 Ph: (309) 258-7607 |
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