Dr Angela D Collins, MD - Medicare Pediatrics in Bolivar, MO

Dr Angela D Collins, MD is a medicare enrolled "Pediatrics" physician in Bolivar, Missouri. Her current practice location is 1195 N Oakland Ave, Suite 2, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 777-2121.

Dr Angela D Collins is licensed to practice in Missouri (license number 2006018403) 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 1629120506.

Contact Information

Dr Angela D Collins, MD
1195 N Oakland Ave, Suite 2,
Bolivar, MO 65613-8095
(417) 777-2121
(417) 777-2854



Physician's Profile

Full NameDr Angela D Collins
GenderFemale
SpecialityPediatrics
Location1195 N Oakland Ave, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629120506
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 04/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658599626
  • Enrollment ID: I20140904001810

Medical Identifiers

Medical identifiers for Dr Angela D Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629120506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2006018403 (Missouri)Primary

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. Dr Angela D Collins allows following entities to bill medicare on her behalf.
Entity NameCitizens Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374

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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. Dr Angela D 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 AddressPractice Location Address
Dr Angela D Collins, MD
1500 N Oakland Ave,
Bolivar, MO 65613-3011

Ph: (417) 328-6501
Dr Angela D Collins, MD
1195 N Oakland Ave, Suite 2,
Bolivar, MO 65613-8095

Ph: (417) 777-2121

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Pediatrics Doctors in Bolivar, MO

James G Liesen, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613
Phone: 417-777-2121    Fax: 417-777-2854
Dr. Maida Patricia Baugh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1165 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-777-2121    Fax: 417-777-2854
Dr. Shannon Leigh Calvert, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613
Phone: 417-777-2121    Fax: 417-777-2854
Garrett Monk Alderfer, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 417-328-6000    

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