Dr Elia R Cole, DO, MPH is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Santa Rosa, California. Her current practice location is
401 Bicentennial Way Ste 110, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 393-4577.
Dr Elia R Cole is licensed to practice in * (Not Available) (license number ) 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 1881198745.
Physician's Profile
| Full Name | Dr Elia R Cole |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 401 Bicentennial Way Ste 110, Santa Rosa, California |
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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: 1881198745
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880005552
- Enrollment ID: I20220404002353
Medical Identifiers
Medical identifiers for Dr Elia R Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881198745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DR0067739 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Elia R Cole allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099 |
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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 Elia R 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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Dr Elia R Cole, DO, MPH
401 Bicentennial Way Ste 110,
Santa Rosa, CA 95403-2149
Ph: () - | Dr Elia R Cole, DO, MPH
401 Bicentennial Way Ste 110,
Santa Rosa, CA 95403-2149
Ph: (707) 393-4577 |
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