Clark A Collins, PA-C
Clark A Collins, PA-C is a Physician Assistant in Fort Atkinson, Wisconsin. Qualified in 1998, 28 years ago. Practices with Stoughton Hospital Association, a 66-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 28
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1504 Madison AveFort Atkinson, WI 53538-3100
Phone: (920) 563-7888
Fax: (920) 563-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1029-023 (WI) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 1029-023 (WI) |
| Physician Assistant | Taxonomy 363A00000X · Licence 1029-023 (WI) |
Record details
| NPI number | 1760449821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 1, 2006 |
| Last updated in NPPES | June 21, 2018 |
| Mailing address | Po Box 249, Fort Atkinson, WI 53538-0249 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Stoughton Hospital Association — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fort Atkinson
-
Deborah E Degnan, PA-C
1504 Madison Ave, Fort Atkinson, WI 53538-3100 · (920) 563-7888