David L Cole, LCSW, LPHA is a medicare enrolled "Social Worker - Clinical" provider in Sullivan, Illinois. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Moultrie County Mental Health Center and his current practice location is
12 W Harrison St, Sullivan, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 728-4358.
David L Cole is licensed to practice in Illinois (license number 149.011051) 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 1164660775.
Healthcare Provider's Profile
| Full Name | David L Cole |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 41 Years |
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| Location | 12 W Harrison St, Sullivan, Illinois |
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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:
- David L Cole graduated from medical school in 1983
NPI Data:
- NPI Number: 1164660775
- Provider Enumeration Date: 02/04/2009
- Last Update Date: 02/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 5294973640
- Enrollment ID: I20130822000066
Medical Identifiers
Medical identifiers for David L Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164660775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 149.011051 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Moultrie County Mental Health Center | 9739268996 | 3 |
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. David L Cole allows following entities to bill medicare on his behalf.
| Entity Name | Moultrie County Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811025240
PECOS PAC ID: 9739268996
Enrollment ID: O20160725002454 |
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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. David L 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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David L Cole, LCSW, LPHA
Po Box 163, 12 W. Harrison,
Sullivan, IL 61951-0163
Ph: (217) 728-4358 | David L Cole, LCSW, LPHA
12 W Harrison St,
Sullivan, IL 61951-1907
Ph: (217) 728-4358 |
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