Stacey Lynn Cole, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Salt Lake City, Utah. Her current practice location is
295 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 587-7689.
Stacey Lynn Cole is licensed to practice in Utah (license number 12985834-1205) 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 1194154989.
Physician's Profile
Full Name | Stacey Lynn Cole |
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Gender | Female |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 295 S Chipeta Way, Salt Lake City, Utah |
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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: 1194154989
- Provider Enumeration Date: 11/02/2013
- Last Update Date: 12/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597198747
- Enrollment ID: I20191203000454
Medical Identifiers
Medical identifiers for Stacey Lynn Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194154989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A156177 (California) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 12985834-1205 (Utah) | 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. Stacey Lynn Cole allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
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Entity Name | County Of Sacramento |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366513061 PECOS PAC ID: 0345231247 Enrollment ID: O20050405000747 |
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Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
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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. Stacey Lynn 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 |
Stacey Lynn Cole, MD 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: () - | Stacey Lynn Cole, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (801) 587-7689 |
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