Dr Cole Havard Stanton, OD is a medicare enrolled "Optometrist" provider in Booneville, Arkansas. His current practice location is
2 Riviera Dr, Booneville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 675-3451.
Dr Cole Havard Stanton is licensed to practice in Arkansas (license number 2865) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891471140.
Healthcare Provider's Profile
| Full Name | Dr Cole Havard Stanton |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 2 Riviera Dr, Booneville, Arkansas |
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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: 1891471140
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648630004
- Enrollment ID: I20230717002131
Medical Identifiers
Medical identifiers for Dr Cole Havard Stanton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891471140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2865 (Arkansas) | 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. Dr Cole Havard Stanton allows following entities to bill medicare on his behalf.
| Provider Name | Dr. Shane F Laster Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912415563
PECOS PAC ID: 9234499120
Enrollment ID: O20180214002830 |
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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. Dr Cole Havard Stanton 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 |
|---|
Dr Cole Havard Stanton, OD
8500 S 36th Ter,
Fort Smith, AR 72908-8880
Ph: (479) 242-2020 | Dr Cole Havard Stanton, OD
2 Riviera Dr,
Booneville, AR 72927-5312
Ph: (479) 675-3451 |
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