Mrs Jessica Ella Collins, PA-C is a medicare enrolled "Physician Assistant" in Copperhill, Tennessee. Her current practice location is
144 Medical Center Dr, Ste B, Copperhill, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 496-9214.
Mrs Jessica Ella Collins is licensed to practice in Tennessee (license number PA0000003154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760433288.
Provider's Profile
| Full Name | Mrs Jessica Ella Collins |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 144 Medical Center Dr, Copperhill, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760433288
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991751984
- Enrollment ID: I20050323000305
Medical Identifiers
Medical identifiers for Mrs Jessica Ella Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760433288 | NPI | - | NPPES |
| 193898892A | Medicaid | GA | |
| Q026000 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 004460 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA0000003154 (Tennessee) | Primary |
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. Mrs Jessica Ella 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 |
|---|
Mrs Jessica Ella Collins, PA-C
144 Medical Center Dr, Ste B,
Copperhill, TN 37317-5005
Ph: (423) 496-9214 | Mrs Jessica Ella Collins, PA-C
144 Medical Center Dr, Ste B,
Copperhill, TN 37317-5005
Ph: (423) 496-9214 |
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