Carol S Coffee, RN is a
Registered Nurse - Administrator based in Advance, Missouri. Carol S Coffee is licensed to practice in Missouri (license number 2001031601) and her current practice location is
504 S Vine St, Advance, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 722-6111.
NPI number for Carol S Coffee is 1316591340 and her current mailing address is Po Box 435, Advance, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316591340.
Provider's Profile
| Full Name | Carol S Coffee |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Administrator |
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| Location | 504 S Vine St, Advance, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316591340
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 07/29/2019
Medical Identifiers
Medical identifiers for Carol S Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316591340 | NPI | - | NPPES |
| 266135003 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WA2000X | Registered Nurse - Administrator | 2001031601 (Missouri) | Primary |
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. Carol S Coffee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carol S Coffee, RN
Po Box 435,
Advance, MO 63730-0435
Ph: (573) 722-6111 | Carol S Coffee, RN
504 S Vine St,
Advance, MO 63730-8060
Ph: (573) 722-6111 |
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