Dr Stephen Andrew Cole, MD - Medicare Family Practice in Walworth, WI

Dr Stephen Andrew Cole, MD is a medicare enrolled "Family Medicine" physician in Walworth, Wisconsin. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is 525 Kenosha St, Suite A, Walworth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 275-2101.

Dr Stephen Andrew Cole is licensed to practice in Wisconsin (license number 61002-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053415570.

Contact Information

Dr Stephen Andrew Cole, MD
525 Kenosha St, Suite A,
Walworth, WI 53184-9512
(262) 275-2101
(262) 275-0752

Map and Direction




Physician's Profile

Full NameDr Stephen Andrew Cole
GenderMale
SpecialityFamily Practice
Experience25 Years
Location525 Kenosha St, Walworth, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stephen Andrew Cole attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1999
  NPI Data:
  • NPI Number: 1053415570
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 08/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244397370
  • Enrollment ID: I20130828000305

Medical Identifiers

Medical identifiers for Dr Stephen Andrew Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053415570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 61002-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 61002-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc36787600631052

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 Stephen Andrew Cole allows following entities to bill medicare on his behalf.
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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 Stephen Andrew 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 AddressPractice Location Address
Dr Stephen Andrew Cole, MD
107 Prairie Dr,
Walworth, WI 53184-9794

Ph: (865) 789-1747
Dr Stephen Andrew Cole, MD
525 Kenosha St, Suite A,
Walworth, WI 53184-9512

Ph: (262) 275-2101

Reviews and Comments


Family Medicine Doctors in Walworth, WI

Dr. Dale Gary Jacobson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 525 Kenosha St, #a, Walworth, WI 53184
Phone: 262-275-2101    Fax: 262-275-0752
Dr. Nathan C Gilling, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Kenosha St, Walworth, WI 53184
Phone: 262-275-2101    
Dr. Lindsey E Tuntland, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 525 Kenosha St, Walworth, WI 53184
Phone: 262-275-2101    Fax: 262-275-0752
Dr. Janis A Lowell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 525 Kenosha St, #a, Walworth, WI 53184
Phone: 262-275-2101    Fax: 262-275-0752

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.