Courtney Cordo, NP-C is a medicare enrolled "Nurse Practitioner" physician in Memphis, Tennessee. Her current practice location is
1211 Union Ave Ste 965, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 435-8550.
Courtney Cordo is licensed to practice in Tennessee (license number 27110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508496829.
Physician's Profile
| Full Name | Courtney Cordo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1211 Union Ave Ste 965, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508496829
- Provider Enumeration Date: 01/26/2020
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709250558
- Enrollment ID: I20230320000382
Medical Identifiers
Medical identifiers for Courtney Cordo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508496829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 27110 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 27110 (Tennessee) | 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. Courtney Cordo allows following entities to bill medicare on her behalf.
| Entity Name | Specialty Physician Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174842181
PECOS PAC ID: 9537291323
Enrollment ID: O20100714000297 |
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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. Courtney Cordo 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 |
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Courtney Cordo, NP-C
1211 Union Ave Ste 330,
Memphis, TN 38104-6655
Ph: () - | Courtney Cordo, NP-C
1211 Union Ave Ste 965,
Memphis, TN 38104-6638
Ph: (901) 435-8550 |
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