Cobra Chamblee, DO is a medicare enrolled "Family Medicine" physician in Jetmore, Kansas. Her current practice location is
810 W Bramley St, Jetmore, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 357-8354.
Cobra Chamblee is licensed to practice in Kansas (license number 0550484) 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 1366461741.
Physician's Profile
Full Name | Cobra Chamblee |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 810 W Bramley St, Jetmore, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366461741
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234144114
- Enrollment ID: I20060214000381
Medical Identifiers
Medical identifiers for Cobra Chamblee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366461741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | K8686 (Texas) | Secondary |
207Q00000X | Family Medicine | OS17772 (Florida) | Secondary |
207Q00000X | Family Medicine | 0550484 (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. Cobra Chamblee allows following entities to bill medicare on her behalf.
Entity Name | South Central Hospitalists, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992127187 PECOS PAC ID: 0547493934 Enrollment ID: O20140509001680 |
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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. Cobra Chamblee 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 |
Cobra Chamblee, DO Po Box 310, Jetmore, KS 67854-0310 Ph: (620) 357-8361 | Cobra Chamblee, DO 810 W Bramley St, Jetmore, KS 67854-9320 Ph: (620) 357-8354 |
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