| Jeffrey M Collins, | |
|
825 Main St, Plain, WI 53577-9668 | |
| (608) 546-4211 | |
| Not Available |
| Full Name | Jeffrey M Collins |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 825 Main St, Plain, Wisconsin |
| 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 |
|---|---|---|---|
| 1710953583 | NPI | - | NPPES |
| 080155015 | Other | WI | RAILROAD MEDICARE |
| 32603600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40101 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Home Health-wisconsin | Madison, WI | Home health agency |
| Agrace Hospicecare | Madison, WI | Hospice |
| St Croix Hospice Madison | Madison, WI | Hospice |
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Reedsburg Area Medical Center | Reedsburg, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Greenway Manor | Spring green, WI | Nursing home |
| Maplewood Of Sauk Prairie | Sauk city, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 121 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Collins, 825 Main St, Plain, WI 53577-9668 Ph: (608) 546-4211 | Jeffrey M Collins, 825 Main St, Plain, WI 53577-9668 Ph: (608) 546-4211 |