Jennifer Cole, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bolivar, Missouri. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Citizens Memorial Healthcare and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366983694.
Healthcare Provider's Profile
| Full Name | Jennifer Cole |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 1120 S Springfield Ave, Bolivar, Missouri |
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| Accepts Medicare Assignments | Yes. She 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:
- Jennifer Cole graduated from medical school in 2017
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 |
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| 1366983694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 2017005257 (Missouri) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2017037305 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 02938 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Citizens Memorial Healthcare | 4183528169 | 108 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374 |
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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. 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 |
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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 |
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