Laura Coffee, is a medicare enrolled "Nurse Practitioner - Gerontology" in Carbon Hill, Alabama. Her current practice location is
350 4th St Nw, Carbon Hill, Alabama. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Laura Coffee is licensed to practice in Alabama (license number 1-122633) 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 1538991286.
Provider's Profile
| Full Name | Laura Coffee |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 350 4th St Nw, Carbon Hill, Alabama |
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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: 1538991286
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446783203
- Enrollment ID: I20241031002742
Medical Identifiers
Medical identifiers for Laura Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538991286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 1-122633 (Alabama) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 1-122633 (Alabama) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1-122633 (Alabama) | 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. Laura Coffee allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20200212001980 |
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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. Laura Coffee 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 |
|---|
Laura Coffee,
Po Box 269084, Dept 1102,
Oklahoma City, OK 73126
Ph: (731) 394-1145 | Laura Coffee,
350 4th St Nw,
Carbon Hill, AL 35549-5044
Ph: (731) 394-1145 |
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