Dr Demion R Cornwall, DDS is a medicare enrolled "Dentist - General Practice" provider in Laplata, Maryland. His current practice location is
6620 Crain Hwy, Suite 204, Laplata, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 870-3966.
Dr Demion R Cornwall is licensed to practice in Maryland (license number 13699) 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 1982965711.
Healthcare Provider's Profile
Full Name | Dr Demion R Cornwall |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 6620 Crain Hwy, Laplata, Maryland |
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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: 1982965711
- Provider Enumeration Date: 06/07/2012
- Last Update Date: 06/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153611363
- Enrollment ID: I20160531001960
Medical Identifiers
Medical identifiers for Dr Demion R Cornwall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982965711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13699 (Maryland) | Primary |
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 Demion R 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 |
Dr Demion R Cornwall, DDS 6620 Crain Hwy #204, Laplata, MD 20646 Ph: (301) 870-3966 | Dr Demion R Cornwall, DDS 6620 Crain Hwy, Suite 204, Laplata, MD 20646 Ph: (301) 870-3966 |
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