Dr Carol J Cornejo, MD - Medicare General Surgery in Edmonds, WA

Dr Carol J Cornejo, MD is a medicare enrolled "Surgery" physician in Edmonds, Washington. She went to University Of California, San Francisco School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Proliance Surgeons Inc Ps and her current practice location is 7315 212th St Sw, Suite 201, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 778-8116.

Dr Carol J Cornejo is licensed to practice in Washington (license number MD00031941) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316916927.

Contact Information

Dr Carol J Cornejo, MD
7315 212th St Sw, Suite 201,
Edmonds, WA 98026-7610
(425) 778-8116
(425) 775-9526

Map and Direction




Physician's Profile

Full NameDr Carol J Cornejo
GenderFemale
SpecialityGeneral Surgery
Experience33 Years
Location7315 212th St Sw, Edmonds, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carol J Cornejo attended and graduated from University Of California, San Francisco School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1316916927
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 10/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5698675981
  • Enrollment ID: I20040112000368

Medical Identifiers

Medical identifiers for Dr Carol J Cornejo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316916927NPI-NPPES
8234551MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD00031941 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Edmonds HospitalEdmonds, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proliance Surgeons Inc Ps8527972900358

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. Dr Carol J Cornejo allows following entities to bill medicare on her behalf.
Entity NameProliance Surgeons Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128

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 Carol J Cornejo 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 AddressPractice Location Address
Dr Carol J Cornejo, MD
805 Madison St, Suite 901,
Seattle, WA 98104-1172

Ph: (206) 264-8100
Dr Carol J Cornejo, MD
7315 212th St Sw, Suite 201,
Edmonds, WA 98026-7610

Ph: (425) 778-8116

Reviews and Comments


Surgery Doctors in Edmonds, WA

Dr. Anjali Savithri Kumar, M.D., M.P.H.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7315 212th St Sw Ste 201, Edmonds, WA 98026
Phone: 425-778-8116    Fax: 425-775-9526
Dr. Michelle J Sinnett, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026
Phone: 425-778-8116    Fax: 425-775-9526
Oliver C Bellevue, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 21616 76th Ave W Ste 201a, Edmonds, WA 98026
Phone: 425-673-3400    Fax: 425-673-3401
Ms. Shelby Ann Reiter, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 21616 76th Ave W Ste 201a, Edmonds, WA 98026
Phone: 425-673-3400    Fax: 425-673-3401
Dr. Steven D Macfarlane, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026
Phone: 425-778-8116    Fax: 425-778-9526
Dr. Allison Rachelle Alberton, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7315 212th St Sw Ste 201, Edmonds, WA 98026
Phone: 425-778-8116    Fax: 425-775-9526

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.