Mark Jerome Collins, DO in Prescott Valley, AZ - Medicare Psychiatry & Neurology

Mark Jerome Collins, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Prescott Valley, Arizona. His current practice location is 5940 E Copper Hill Dr, Suite B, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (702) 379-2227.

Mark Jerome Collins is licensed to practice in Arizona (license number 4145) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295747368.

Contact Information

	Mark Jerome Collins, DO
	5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860
	(702) 379-2227
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Jerome Collins
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	5940 E Copper Hill Dr, Prescott Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295747368
Provider Enumeration Date: 08/13/2006
Last Update Date: 05/25/2016

Medicare PECOS Information:

PECOS PAC ID: 4385624147
Enrollment ID: I20040722000382

Medical Identifiers

Medical identifiers for Mark Jerome Collins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295747368	NPI	-	NPPES
W-416	Other	CA	MEDICARE PTAN
002019797	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	4145 (Arizona)	Primary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	766 (Nevada)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	02847 (Iowa)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	20A12037 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Jerome Collins allows following entities to bill medicare on his behalf.

Entity Name	A Place Of Grace Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144662206 PECOS PAC ID: 0042432759 Enrollment ID: O20141113001116

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. Mark Jerome Collins 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
Mark Jerome Collins, DO 5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860 Ph: (702) 379-2227	Mark Jerome Collins, DO 5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860 Ph: (702) 379-2227

Reviews and Comments

Psychiatry & Neurology Doctors in Prescott Valley, AZ

Barry Coe, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-445-5211
Dr. Lisa Marie Parsons, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 602-228-9503
Dr. David Sidney Burgoyne Ii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8011 N Racehorse Rd, Prescott Valley, AZ 86315 Phone: 480-980-8540
Stacey Sabatina, NP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7750 E Florentine Rd Ste A, Prescott Valley, AZ 86314 Phone: 928-277-1211 Fax: 928-277-1208
Raquel Balderas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3345 N Windsong Dr, Windsong Center, Prescott Valley, AZ 86314 Phone: 928-445-5211 Fax: 928-776-8484
Gayle L Gregory, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15801 E Don Carlos Dr, Prescott Valley, AZ 86315 Phone: 602-335-2000 Fax: 602-476-2077

Mark Jerome Collins, DO - Medicare Psychiatry & Neurology in Prescott Valley, AZ