Jaime R Cole, PA-C is a medicare enrolled "Radiology - Diagnostic Radiology" in Glendale, Arizona. Her current practice location is
5605 W Eugie Ave Ste 110, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 847-2000.
Jaime R Cole is licensed to practice in Arizona (license number 3559) 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 1922196708.
Provider's Profile
| Full Name | Jaime R Cole |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 5605 W Eugie Ave Ste 110, Glendale, Arizona |
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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: 1922196708
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042316994
- Enrollment ID: I20070509000502
Medical Identifiers
Medical identifiers for Jaime R Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922196708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3559 (Arizona) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 3559 (Arizona) | 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. Jaime R Cole allows following entities to bill medicare on her behalf.
| Entity Name | Vhs Outpatient Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
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| Entity Name | Emergency Professional Services PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
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| Entity Name | Southwest Diagnostic Imaging LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
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| Entity Name | Emergency Physicians Southwest PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
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| Entity Name | Cep America- Arizona, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403 |
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| Entity Name | Athena Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20180829003049 |
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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. Jaime 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 |
Jaime R Cole, PA-C 16760 W Hilton Ave, Goodyear, AZ 85338-7400 Ph: (785) 845-4501 | Jaime R Cole, PA-C 5605 W Eugie Ave Ste 110, Glendale, AZ 85304-1273 Ph: (623) 847-2000 |
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