Jack Martin Cole, MD is a medicare enrolled "Internal Medicine" physician in Landrum, South Carolina. His current practice location is
133 N Howard Ave, Landrum, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 457-3838.
Jack Martin Cole is licensed to practice in South Carolina (license number 15903) 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 1922051150.
Physician's Profile
| Full Name | Jack Martin Cole |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 133 N Howard Ave, Landrum, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922051150
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 05/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416050182
- Enrollment ID: I20070319000113
Medical Identifiers
Medical identifiers for Jack Martin Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922051150 | NPI | - | NPPES |
| SCJ0086633 | Other | SC | MEDICARE PIN |
| SCJ0086084 | Other | SC | MEDICARE PIN |
| SCJ008J577 | Other | SC | MEDICARE PIN |
| 159036 | Medicaid | SC | |
| P01397050 | Other | SC | RAILROAD MEDICARE |
| SCJ0085019 | Other | SC | MEDICARE PIN |
| SCJ0085121 | Other | SC | MEDICARE PIN |
| SCJ0086067 | Other | SC | MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 15903 (South Carolina) | 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. Jack Martin Cole allows following entities to bill medicare on his behalf.
| Entity Name | Cherokee Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285275305
PECOS PAC ID: 5991041212
Enrollment ID: O20191220002041 |
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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. Jack Martin 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 |
|---|
Jack Martin Cole, MD
Po Box 743070,
Atlanta, GA 30374-3070
Ph: (864) 560-4304 | Jack Martin Cole, MD
133 N Howard Ave,
Landrum, SC 29356-1507
Ph: (864) 457-3838 |
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