Ezra Lee Cole, MD in Siloam Springs, AR

Ezra Lee Cole, MD is a medicare enrolled "Pediatrics" physician in Siloam Springs, Arkansas. His current practice location is 1101 N Progress Ave, Siloam Springs, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 549-4228.

Ezra Lee Cole is licensed to practice in Arkansas (license number E8536) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851617757.

Contact Information

	Ezra Lee Cole, MD
	1101 N Progress Ave, Siloam Springs, AR 72761-4343
	(479) 549-4228
	(479) 549-3711

Map and Direction

Physician's Profile

Full Name	Ezra Lee Cole
Gender	Male
Speciality	Pediatrics
Location	1101 N Progress Ave, Siloam Springs, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851617757
Provider Enumeration Date: 04/16/2010
Last Update Date: 02/13/2015

Medicare PECOS Information:

PECOS PAC ID: 4880826585
Enrollment ID: I20141015000558

Medical Identifiers

Medical identifiers for Ezra Lee Cole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851617757	NPI	-	NPPES
203868001	Medicaid	AR
200303500B	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E8536 (Arkansas)	Primary
207R00000X	Internal Medicine	E8536 (Arkansas)	Secondary

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. Ezra Lee Cole allows following entities to bill medicare on his behalf.

Entity Name	Integrated Community Clinics Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760440226 PECOS PAC ID: 2567361165 Enrollment ID: O20040102000477

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. Ezra Lee 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
Ezra Lee Cole, MD Po Box 516, Siloam Springs, AR 72761-0516 Ph: (479) 549-4228	Ezra Lee Cole, MD 1101 N Progress Ave, Siloam Springs, AR 72761-4343 Ph: (479) 549-4228

Reviews and Comments

Pediatrics Doctors in Siloam Springs, AR

Joseph A Aldrich Jr., DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 N Progress Ave # 2, Siloam Springs, AR 72761 Phone: 479-549-4228 Fax: 479-549-3711
Kathleen Anna Dahlmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 W University St, Box 160, Siloam Springs, AR 72761 Phone: 918-326-4983 Fax: 918-326-4983
Mrs. Angela Anne Fangmeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101-2 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-549-4228 Fax: 479-549-3711

Ezra Lee Cole, MD - Medicare Pediatrics in Siloam Springs, AR