Mr Robert Cole, FNP is a medicare enrolled "Nurse Practitioner - Family" in King,an, Arizona. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kingman Healthcare Inc and his current practice location is
3545 Cheyenne Ave, King,an, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 279-5552.
Mr Robert Cole is licensed to practice in Arizona (license number 161234) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053858704.
Provider's Profile
| Full Name | Mr Robert Cole |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 3545 Cheyenne Ave, King,an, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Robert Cole graduated from nursing school in 2016
NPI Data:
- NPI Number: 1053858704
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 1153693122
- Enrollment ID: I20170825001840
Medical Identifiers
Medical identifiers for Mr Robert Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053858704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 161234 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kingman Healthcare Inc | 6901791367 | 170 |
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. Mr Robert Cole allows following entities to bill medicare on his behalf.
| Entity Name | Kingman Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173 |
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| Entity Name | Innova Emergency Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295178978
PECOS PAC ID: 2860633435
Enrollment ID: O20160525000770 |
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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. Mr Robert 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 |
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Mr Robert Cole, FNP
3545 Cheyenne Ave,
Kingman, AZ 86401-6507
Ph: (928) 279-5552 | Mr Robert Cole, FNP
3545 Cheyenne Ave,
King,an, AZ 86401
Ph: (928) 279-5552 |
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