Prof Douglas Cole, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Greenville, Mississippi. His current practice location is
1654 E Union St, Greenville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 335-5274.
Prof Douglas Cole is licensed to practice in Mississippi (license number 26342) 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 1255458444.
Healthcare Provider's Profile
| Full Name | Prof Douglas Cole |
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| Gender | Male |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 1654 E Union St, Greenville, Mississippi |
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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: 1255458444
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870753684
- Enrollment ID: I20120330000584
Medical Identifiers
Medical identifiers for Prof Douglas Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255458444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 26342 (Mississippi) | 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. Prof Douglas Cole allows following entities to bill medicare on his behalf.
| Entity Name | Region Vi Community Mental Health Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154433233 PECOS PAC ID: 0749183663 Enrollment ID: O20040129000045 |
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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. Prof Douglas 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 |
Prof Douglas Cole, PHD 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 | Prof Douglas Cole, PHD 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 |
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