Kianna Monique Cole, LCSW in Syracuse, NY - Medicare Social Worker Provider

Kianna Monique Cole, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Syracuse, New York. Her current practice location is 421 Montgomery St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 435-3739.

Kianna Monique Cole is licensed to practice in New York (license number 085216) 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 1720411515.

Contact Information

	Kianna Monique Cole, LCSW
	421 Montgomery St, Syracuse, NY 13202-2923
	(315) 435-3739
	(315) 435-3360

Map and Direction

Healthcare Provider's Profile

Full Name	Kianna Monique Cole
Gender	Female
Speciality	Social Worker - Clinical
Location	421 Montgomery St, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720411515
Provider Enumeration Date: 08/15/2013
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 6406119213
Enrollment ID: I20180409002191

Medical Identifiers

Medical identifiers for Kianna Monique Cole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720411515	NPI	-	NPPES
536220	Medicaid	NY
00569860	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	085216 (New York)	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. Kianna Monique Cole allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517

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. Kianna Monique Cole 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
Kianna Monique Cole, LCSW 421 Montgomery St, P.o. Box 608, Syracuse, NY 13202-2923 Ph: (315) 435-3739	Kianna Monique Cole, LCSW 421 Montgomery St, Syracuse, NY 13202-2923 Ph: (315) 435-3739

Reviews and Comments

Social Worker in Syracuse, NY

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Maryjane Quenneville, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Northern Lights Dr Ste 20, Syracuse, NY 13212 Phone: 315-326-1008
Jacqueline C Berry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455

Kianna Monique Cole, LCSW - Medicare Clinical Social Worker in Syracuse, NY