Stacey Lynn Cole, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Salt Lake City, Utah. Her current practice location is
295 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 587-7689.
Stacey Lynn Cole is licensed to practice in Utah (license number 12985834-1205) 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 1194154989.
Physician's Profile
| Full Name | Stacey Lynn Cole |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 295 S Chipeta Way, Salt Lake City, Utah |
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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: 1194154989
- Provider Enumeration Date: 11/02/2013
- Last Update Date: 12/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597198747
- Enrollment ID: I20191203000454
Medical Identifiers
Medical identifiers for Stacey Lynn Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194154989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | A156177 (California) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 12985834-1205 (Utah) | 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. Stacey Lynn Cole allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The Univ Of Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
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| Entity Name | County Of Sacramento |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366513061 PECOS PAC ID: 0345231247 Enrollment ID: O20050405000747 |
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| Entity Name | Sutter Valley Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
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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. Stacey Lynn 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 |
Stacey Lynn Cole, MD 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: () - | Stacey Lynn Cole, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (801) 587-7689 |
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