| James M. Collier Iii, Md, Psc | |
|
220 Cedar St Ste 401 Lexington KY 40508-2986 | |
| (859) 425-1117 | |
| (859) 425-1130 |
| Full Name | James M. Collier Iii, Md, Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Cedar St, Lexington, Kentucky |
| Authorized Official Name and Position | James M Collier (MEDICAL DOCTOR) |
| Authorized Official Contact | 8594251117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M. Collier Iii, Md, Psc 169 Burt Rd Lexington KY 40503-2455 Ph: (859) 278-9242 | James M. Collier Iii, Md, Psc 220 Cedar St Ste 401 Lexington KY 40508-2986 Ph: (859) 425-1117 |
| NPI Number | 1306897012 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 3173418639 |
|---|---|
| Medicare Enrollment ID | O20040216000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306897012 | NPI | - | NPPES |
| 7100079930 | Medicaid | KY | |
| DC1667 | Other | KY | RAILRAID MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20763 (Kentucky) | Primary |
| Provider Name | James M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252606 PECOS PAC ID: 2163317629 Enrollment ID: I20040304000229 |
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