Kristin Denice Coble, AGACNP-BC, FNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Ovid, Michigan. Her current practice location is
9480 E M 21, Ovid, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 364-1000.
Kristin Denice Coble is licensed to practice in Michigan (license number 4704314544) 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 1154058923.
Provider's Profile
Full Name | Kristin Denice Coble |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 9480 E M 21, Ovid, Michigan |
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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: 1154058923
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 12/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163805672
- Enrollment ID: I20220816003505
Medical Identifiers
Medical identifiers for Kristin Denice Coble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154058923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704314544 (Michigan) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 4704314544 (Michigan) | 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. Kristin Denice Coble allows following entities to bill medicare on her behalf.
Entity Name | Sparrow Specialty Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437655842 PECOS PAC ID: 2466347638 Enrollment ID: O20180607002998 |
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Entity Name | Vituity - Michigan Hospitalists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487278156 PECOS PAC ID: 2365860996 Enrollment ID: O20200915000938 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
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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. Kristin Denice Coble 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 |
Kristin Denice Coble, AGACNP-BC, FNP-BC 3239 Pickwick Pl, Lansing, MI 48917-1719 Ph: (708) 289-1878 | Kristin Denice Coble, AGACNP-BC, FNP-BC 9480 E M 21, Ovid, MI 48866-9569 Ph: (517) 364-1000 |
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