Carissa Cole, CNP in Urbana, IL - Medicare Nurse Practitioner

Carissa Cole, CNP is a medicare enrolled "Nurse Practitioner" in Urbana, Illinois. Her current practice location is 611 W. Park St., Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3311.

Carissa Cole is licensed to practice in Illinois (license number 209019303) 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 1932756194.

Contact Information

	Carissa Cole, CNP
	611 W. Park St., Urbana, IL 61801
	(217) 383-3311
	Not Available

Map and Direction

Provider's Profile

Full Name	Carissa Cole
Gender	Female
Speciality	Nurse Practitioner
Location	611 W. Park St., Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932756194
Provider Enumeration Date: 08/22/2019
Last Update Date: 08/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0840521506
Enrollment ID: I20191010000410

Medical Identifiers

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

Identifier	Type	State	Issuer
1932756194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209019303 (Illinois)	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. Carissa Cole allows following entities to bill medicare on her behalf.

Entity Name	Hoopeston Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011

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. Carissa 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
Carissa Cole, CNP 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () -	Carissa Cole, CNP 611 W. Park St., Urbana, IL 61801 Ph: (217) 383-3311

Reviews and Comments

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Carissa Cole, CNP - Medicare Nurse Practitioner in Urbana, IL