Sabrina Cole, MD
Individual provider Active NPI Family Medicine Physician · Cassopolis, MI
NPI 1821482647 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1821482647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301509462 (MI)
- Practice address
- 261 M 62
Cassopolis, MI 49031-1034 - Phone
- (694) 453-8742
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Immediate Care Center
Practice addresses (Care Compare)
261 M
Suite 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874
Hospital & facility affiliations
- Corewell Health Lakeland Hospitals St Joseph Hospital
- Lakeland Hospital, St Joseph
- Ascension Borgess Lee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714000967 | MI | Practitioner - Family Practice | 0547640989 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509462 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Immediate Care Center | Current |
Accepting new patients | |
| Lakeland Immediate Care Center | Family Medicine | Current | Accepting new patients |
| Lakeland Immediate Care Center | Current |
Accepting new patients |
Locations
261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874
57392 M 51 S
Dowagiac, MI 49047
Phone (269) 462-9587
1951 Oak St
Niles, MI 49120
Phone (269) 262-4749
Interoperability endpoints
- scole1462809@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301509462 | MI | Yes |
Addresses
Primary practice location
261 M 62
Cassopolis, MI 49031-1034
Mailing address
76940 Territorial Rd
Decatur, MI 49045-9121
Phone (269) 967-9227
Other providers in Cassopolis, MI
- Shauna Lynn Clark
- Jessica Clawson
- Megan Cloud
- Sarah Ruth Cohen
- Jodi Lee Cole
- Geneice Cooper
- Tonya Trezelle Cosey
- County of Cass
- Brittany Marie Croumlich
- Rona Sue Darr
All providers in Cassopolis, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.