Shannon Alyse Collard, is a
Peer Specialist based in Brookings, Oregon. Shannon Alyse Collard is licensed to practice in * (Not Available) (license number ) and her current practice location is
615 5th St # 300, Brookings, Oregon. She can be reached at her office (for appointments etc.) via phone at
(877) 408-8941.
NPI number for Shannon Alyse Collard is 1881399483 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881399483.
Healthcare Provider's Profile
| Full Name | Shannon Alyse Collard |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 615 5th St # 300, Brookings, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881399483
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 03/05/2025
Medical Identifiers
Medical identifiers for Shannon Alyse Collard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881399483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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. Shannon Alyse Collard 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 |
|---|
Shannon Alyse Collard,
Po Box 1121,
Roseburg, OR 97470-0254
Ph: (541) 672-2691 | Shannon Alyse Collard,
615 5th St # 300,
Brookings, OR 97415-9199
Ph: (877) 408-8941 |
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