| Jacob Collie, DO | |
|
4881 Sugar Maple Dr, Dayton, OH 45433-5529 | |
| (937) 257-2785 | |
| Not Available |
| Full Name | Jacob Collie |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 11 Years |
| Location | 4881 Sugar Maple Dr, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952716276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1412 (Nebraska) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1412 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forward Pathology Solutions, Llc | 2668703109 | 25 |
| Entity Name | Forward Pathology Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982266391 PECOS PAC ID: 2668703109 Enrollment ID: O20191014002724 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Collie, DO 4881 Sugar Maple Dr, Dayton, OH 45433-5529 Ph: () - | Jacob Collie, DO 4881 Sugar Maple Dr, Dayton, OH 45433-5529 Ph: (937) 257-2785 |
Rebecca R. Balaj, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2978 Fax: 937-208-6137 | |
Dr. Ronald C Chiu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming Street, Pathology Lab, Dayton, OH 45409 Phone: 937-208-2978 | |
Dr. Michael Benjamin Gentry, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Dayton, OH 45429 Phone: 937-395-8849 | |
Paul G Koles, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3640 Colonel Glenn Hwy, 125 White Hall, Dayton, OH 45435 Phone: 937-775-2625 Fax: 937-775-2633 | |
Patrick J Connelly, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2777 | |
Mrs. Sharda Gupta, MD Pathology Medicare: Medicare Enrolled Practice Location: 5895 Batsford Drive, Dayton, OH 45459 Phone: 937-433-6883 Fax: 937-433-6883 | |
Dr. Manibha Banerjee, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-6251 |