Jennifer Cole, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bolivar, Missouri. Her current practice location is
1120 S Springfield Ave, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 326-7814.
Jennifer Cole is licensed to practice in Kansas (license number 02938) 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 1366983694.
Healthcare Provider's Profile
Full Name | Jennifer Cole |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 1120 S Springfield Ave, Bolivar, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366983694
- Provider Enumeration Date: 03/20/2017
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072879741
- Enrollment ID: I20171113002953
Medical Identifiers
Medical identifiers for Jennifer Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366983694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2017005257 (Missouri) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | 2017037305 (Missouri) | Secondary |
103TC0700X | Psychologist - Clinical | 02938 (Kansas) | 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. Jennifer Cole allows following entities to bill medicare on her behalf.
Entity Name | Citizens Memorial Healthcare |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
---|
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. Jennifer 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 |
Jennifer Cole, PSYD 1120 S Springfield Ave, Bolivar, MO 65613-2512 Ph: (417) 326-7814 | Jennifer Cole, PSYD 1120 S Springfield Ave, Bolivar, MO 65613-2512 Ph: (417) 326-7814 |
Reviews and Comments