Mr Jerome Fitzgerald Cornwall, LCSW in Raleigh, NC - Medicare Clinical Social Worker Provider

Mr Jerome Fitzgerald Cornwall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Avance Care Pa and his current practice location is 7850 Brier Creek Pkwy Ste 100, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 237-1337.

Mr Jerome Fitzgerald Cornwall is licensed to practice in North Carolina (license number C011328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952775629.

Contact Information

	Mr Jerome Fitzgerald Cornwall, LCSW
	7850 Brier Creek Pkwy Ste 100, Raleigh, NC 27617-8900
	(919) 237-1337
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerome Fitzgerald Cornwall
Gender	Male
Speciality	Clinical Social Worker
Experience	10 Years
Location	7850 Brier Creek Pkwy Ste 100, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jerome Fitzgerald Cornwall graduated from medical school in 2014

NPI Data:

NPI Number: 1952775629
Provider Enumeration Date: 11/18/2015
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4385999879
Enrollment ID: I20180625002948

Medical Identifiers

Medical identifiers for Mr Jerome Fitzgerald Cornwall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952775629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C011328 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avance Care Pa	3577634476	228

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 Jerome Fitzgerald Cornwall allows following entities to bill medicare on his behalf.

Entity Name	Mindpath Care Centers North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508803214 PECOS PAC ID: 4688655517 Enrollment ID: O20040526001582

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

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 Jerome Fitzgerald Cornwall 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
Mr Jerome Fitzgerald Cornwall, LCSW 4705 University Dr Bldg 700, Durham, NC 27707-3489 Ph: (919) 237-1337	Mr Jerome Fitzgerald Cornwall, LCSW 7850 Brier Creek Pkwy Ste 100, Raleigh, NC 27617-8900 Ph: (919) 237-1337

Reviews and Comments

Social Worker in Raleigh, NC

Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580

Mr Jerome Fitzgerald Cornwall, LCSW - Medicare Clinical Social Worker in Raleigh, NC