Michael Cornwall, in Las Vegas, NV - Medicare Counselor Provider

Michael Cornwall, is a medicare enrolled "Counselor - Mental Health" provider in Las Vegas, Nevada. His current practice location is 2110 E Flamingo Rd Ste 207, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (859) 321-4956.

Michael Cornwall is licensed to practice in Nevada (license number CP0225) 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 1184921033.

Contact Information

	Michael Cornwall,
	2110 E Flamingo Rd Ste 207, Las Vegas, NV 89119-5191
	(859) 321-4956
	(702) 472-8635

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Cornwall
Gender	Male
Speciality	Counselor - Mental Health
Location	2110 E Flamingo Rd Ste 207, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184921033
Provider Enumeration Date: 02/11/2011
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9436590361
Enrollment ID: I20240509002651

Medical Identifiers

Medical identifiers for Michael Cornwall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184921033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CP0225 (Nevada)	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. Michael Cornwall allows following entities to bill medicare on his behalf.

Entity Name	Michael Cornwall Phd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699531731 PECOS PAC ID: 8527409457 Enrollment ID: O20240509002587

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. Michael 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
Michael Cornwall, 2110 E Flamingo Rd Ste 207, Las Vegas, NV 89119-5191 Ph: (859) 321-4956	Michael Cornwall, 2110 E Flamingo Rd Ste 207, Las Vegas, NV 89119-5191 Ph: (859) 321-4956

Reviews and Comments

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Michael Cornwall, - Medicare Counselor in Las Vegas, NV