Mr Justin Don Cole, - Medicare Nurse Practitioner in Broken Arrow, OK

Mr Justin Don Cole, is a medicare enrolled "Nurse Practitioner - Family" in Broken Arrow, Oklahoma. His current practice location is 3325 S 204th East Ave, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 955-1907.

Mr Justin Don Cole is licensed to practice in Oklahoma (license number 82942) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790211795.

Contact Information

Mr Justin Don Cole,
3325 S 204th East Ave,
Broken Arrow, OK 74014-5165
(918) 955-1907
Not Available

Map and Direction




Provider's Profile

Full NameMr Justin Don Cole
GenderMale
SpecialityNurse Practitioner - Family
Location3325 S 204th East Ave, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790211795
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 09/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8729354790
  • Enrollment ID: I20171018001851

Medical Identifiers

Medical identifiers for Mr Justin Don Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790211795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 82942 (Oklahoma)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. Mr Justin Don Cole allows following entities to bill medicare on his behalf.
Entity NameSt John Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867
Entity NameHiv Resource Consortium, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346528718
PECOS PAC ID: 7416389200
Enrollment ID: O20191116000002
Entity NameAt Home By Choice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497170609
PECOS PAC ID: 5890110456
Enrollment ID: O20200729000156

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. Mr Justin Don 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 AddressPractice Location Address
Mr Justin Don Cole,
2000 S Wheeling Ave, Ste 701,
Tulsa, OK 74104-5647

Ph: (918) 748-7810
Mr Justin Don Cole,
3325 S 204th East Ave,
Broken Arrow, OK 74014-5165

Ph: (918) 955-1907

Reviews and Comments


Nurse Practitioner Nurses in Broken Arrow, OK

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Ms. Kyndal Renee' Stevens, APRN-CNP
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Phone: 918-455-0414    
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Phone: 918-258-2952    
Ms. Jamie Larie Kitchens, DNP, APRN, CNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-455-0414

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.