Collective Therapy is a medicare enrolled "Clinic/center - Multi-specialty" provider in Dublin, Georgia. Their current practice location is
113 E Gaines St, Dublin, Georgia. You can reach out to their office (for appointments etc.) via phone at
(478) 595-0317.
Collective Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Collective Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912429010.
Healthcare Provider's Profile
| Full Name | Collective Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 113 E Gaines St, Dublin, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912429010
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395097919
- Enrollment ID: O20181010000654
Medical Identifiers
Medical identifiers for Collective Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912429010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SLP005385 (Georgia) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Collective Therapy acts as a billing entity for following providers:
| Provider Name | Holly M Howard |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1356677272
PECOS PAC ID: 6204188824
Enrollment ID: I20181010000917 |
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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. Collective Therapy 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 |
|---|
Collective Therapy
2035 Rebie Rd,
Dudley, GA 31022-2411
Ph: (478) 595-0317 | Collective Therapy
113 E Gaines St,
Dublin, GA 31021-6157
Ph: (478) 595-0317 |
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