Dr Emma Cole, PHD, ABPP, NCSP is a medicare enrolled "Clinical Neuropsychologist" provider in Baltimore, Maryland. Her current practice location is
1750 E Fairmount Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 923-4564.
Dr Emma Cole is licensed to practice in Washington (license number PY60327555) 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 1467804393.
Healthcare Provider's Profile
| Full Name | Dr Emma Cole |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1750 E Fairmount Ave, Baltimore, Maryland |
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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: 1467804393
- Provider Enumeration Date: 07/03/2016
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466800503
- Enrollment ID: I20231129002899
Medical Identifiers
Medical identifiers for Dr Emma Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467804393 | NPI | - | NPPES |
| 42794 | Other | | NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST |
| 494216E | Other | WA | RESIDENCY PSYCHOLOGIST EDUCATIONAL STAFF ASSOCIATE |
| PY60327555 | Other | WA | PSYCHOLOGIST LICENSE |
| 8972 | Other | | AMERICAN BOARD OF PROFESSIONAL PSYCHOLOFY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 494216E (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY60327555 (Washington) | 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 Emma Cole allows following entities to bill medicare on her behalf.
| Entity Name | Kennedy Krieger Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871515783
PECOS PAC ID: 1759280597
Enrollment ID: O20031231000300 |
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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 Emma 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 |
|---|
Dr Emma Cole, PHD, ABPP, NCSP
2801 Eastern Ave,
Baltimore, MD 21224-3811
Ph: (301) 520-7692 | Dr Emma Cole, PHD, ABPP, NCSP
1750 E Fairmount Ave,
Baltimore, MD 21231-1534
Ph: (443) 923-4564 |
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