Ms Kelly M Cole, APN in Peoria, IL - Medicare Nurse Practitioner

Ms Kelly M Cole, APN is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. Her current practice location is 10326 N Juliet Ct Ste A, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 570-1016.

Ms Kelly M Cole is licensed to practice in Illinois (license number 277002673) 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 1508978263.

Contact Information

	Ms Kelly M Cole, APN
	10326 N Juliet Ct Ste A, Peoria, IL 61615-1116
	(309) 570-1016
	(309) 570-1017

Map and Direction

Provider's Profile

Full Name	Ms Kelly M Cole
Gender	Female
Speciality	Nurse Practitioner
Location	10326 N Juliet Ct Ste A, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508978263
Provider Enumeration Date: 08/31/2006
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3274691613
Enrollment ID: I20081202000039

Medical Identifiers

Medical identifiers for Ms Kelly M Cole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508978263	NPI	-	NPPES
1609657980	Other		NP WOMEN'S HEALTH PLLC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	277002673 (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. Ms Kelly M Cole allows following entities to bill medicare on her behalf.

Entity Name	Teverbaugh Croland & Mueller Ob/gyn & Associates, S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720031602 PECOS PAC ID: 2163409996 Enrollment ID: O20040630000625

Entity Name	Np Women's Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609657980 PECOS PAC ID: 5890130371 Enrollment ID: O20240224000529

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. Ms Kelly M 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
Ms Kelly M Cole, APN 10326 N Juliet Ct Ste A, Peoria, IL 61615-1116 Ph: (309) 570-1016	Ms Kelly M Cole, APN 10326 N Juliet Ct Ste A, Peoria, IL 61615-1116 Ph: (309) 570-1016

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

Ms Kelly M Cole, APN - Medicare Nurse Practitioner in Peoria, IL