Mr James Dwight Colleen, MD is a medicare enrolled "Specialist" physician in Mesa, Arizona. He graduated from medical school in 1966 and has 58 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Women's Care Arizona, Llc and his current practice location is
6242 E Arbor Ave Ste 107, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 897-8000.
Mr James Dwight Colleen is licensed to practice in Arizona (license number 5795) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265512073.
Physician's Profile
| Full Name | Mr James Dwight Colleen |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 58 Years |
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| Location | 6242 E Arbor Ave Ste 107, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr James Dwight Colleen graduated from medical school in 1966
NPI Data:
- NPI Number: 1265512073
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820067168
- Enrollment ID: I20041001001017
Medical Identifiers
Medical identifiers for Mr James Dwight Colleen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265512073 | NPI | - | NPPES |
| AZ0032440 | Other | AZ | BLUE CROSS/BLUE SHIELD |
| 252403 | Other | AZ | AHCCCS |
| 1Z0551 | Other | AZ | HEALTH NET |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 5795 (Arizona) | Secondary |
| 174400000X | Specialist | 5795 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Women's Care Arizona, Llc | 6103215322 | 30 |
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. Mr James Dwight Colleen allows following entities to bill medicare on his behalf.
| Entity Name | Women's Care Arizona, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942977624
PECOS PAC ID: 6103215322
Enrollment ID: O20211109003308 |
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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. Mr James Dwight Colleen 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 |
|---|
Mr James Dwight Colleen, MD
Po Box 748860,
Atlanta, GA 30374-1309
Ph: (480) 897-8000 | Mr James Dwight Colleen, MD
6242 E Arbor Ave Ste 107,
Mesa, AZ 85206-1309
Ph: (480) 897-8000 |
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