Renee Cornelius, | |
63 W Church St, Stevens, PA 17578-9203 | |
(717) 721-8795 | |
(717) 336-8284 |
Full Name | Renee Cornelius |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 63 W Church St, Stevens, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447726542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN006579 (Pennsylvania) | Primary |
Provider Name | Wellspan Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Renee Cornelius, 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 721-8795 | Renee Cornelius, 63 W Church St, Stevens, PA 17578-9203 Ph: (717) 721-8795 |
Linnae Goda, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 63 W Church St, Stevens, PA 17578 Phone: 717-721-8795 Fax: 717-336-8284 | |
Lisa E Karpel, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 69 W Church St, Stevens, PA 17578 Phone: 717-336-6578 | |
Ech-dietary/the Wellness Center Dietitian Medicare: Medicare Enrolled Practice Location: 69 W Church St, Stevens, PA 17578 Phone: 717-721-8790 |