Corazon J Coulter, MSN APN -C is a medicare enrolled "Nurse Practitioner - Primary Care" in Wildwood Crest, New Jersey. Her current practice location is
6410 New Jersey Ave, Wildwood Crest, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 523-1331.
Corazon J Coulter is licensed to practice in New Jersey (license number AG09210054) 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 1508512427.
Provider's Profile
Full Name | Corazon J Coulter |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 6410 New Jersey Ave, Wildwood Crest, New Jersey |
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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: 1508512427
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305228727
- Enrollment ID: I20220802001990
Medical Identifiers
Medical identifiers for Corazon J Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508512427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | AG09210054 (New Jersey) | 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. Corazon J Coulter allows following entities to bill medicare on her behalf.
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
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Entity Name | Regional Pain Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659640589 PECOS PAC ID: 9133388499 Enrollment ID: O20120307000088 |
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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. Corazon J Coulter 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 |
Corazon J Coulter, MSN APN -C 4 Jenny Lynn Dr, Northfield, NJ 08225-1532 Ph: (609) 464-3852 | Corazon J Coulter, MSN APN -C 6410 New Jersey Ave, Wildwood Crest, NJ 08260-1216 Ph: (609) 523-1331 |
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