Cole Marvin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kent, Illinois. Her current practice location is
2255 N Kent Rd, Kent, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 904-4604.
Cole Marvin is licensed to practice in Illinois (license number 149007305) 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 1942952304.
Healthcare Provider's Profile
Full Name | Cole Marvin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2255 N Kent Rd, Kent, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942952304
- Provider Enumeration Date: 01/26/2022
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375992845
- Enrollment ID: I20231208001891
Medical Identifiers
Medical identifiers for Cole Marvin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942952304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149007305 (Illinois) | 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. Cole Marvin allows following entities to bill medicare on her behalf.
Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
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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. Cole Marvin 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 |
Cole Marvin, LCSW 2255 N Kent Rd, Kent, IL 61044-9625 Ph: (815) 904-4604 | Cole Marvin, LCSW 2255 N Kent Rd, Kent, IL 61044-9625 Ph: (815) 904-4604 |
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