Michael Douglas Collins, NP is a medicare enrolled "Nurse Practitioner" in Sandersville, Mississippi. He graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Laurel Family Medicine Llc and his current practice location is
109 N Front Street, Sandersville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 490-7190.
Michael Douglas Collins is licensed to practice in Mississippi (license number R867311) 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 1144532086.
Provider's Profile
| Full Name | Michael Douglas Collins |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 109 N Front Street, Sandersville, Mississippi |
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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:
- Michael Douglas Collins graduated from nursing school in 2010
NPI Data:
- NPI Number: 1144532086
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062674955
- Enrollment ID: I20120511000011
Medical Identifiers
Medical identifiers for Michael Douglas Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144532086 | NPI | - | NPPES |
| 02879874 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R867311 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Laurel Family Medicine Llc | 0244584241 | 7 |
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. Michael Douglas Collins allows following entities to bill medicare on his behalf.
| Entity Name | Calhoun Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558713511
PECOS PAC ID: 0941596084
Enrollment ID: O20160915001795 |
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| Entity Name | North Laurel Family Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265921985
PECOS PAC ID: 0244584241
Enrollment ID: O20181109001743 |
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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. Michael Douglas 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 |
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Michael Douglas Collins, NP
3115 Audubon Dr,
Laurel, MS 39440-1913
Ph: (601) 531-2200 | Michael Douglas Collins, NP
109 N Front Street,
Sandersville, MS 39477-0001
Ph: (601) 490-7190 |
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