Dr Jan Gordon Cornell, MD | |
1431 Wayne Ave, Dayton, OH 45410-1411 | |
(937) 348-7001 | |
(937) 949-6113 |
Full Name | Dr Jan Gordon Cornell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 1431 Wayne Ave, Dayton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306908132 | NPI | - | NPPES |
201035040 | Medicaid | IN | |
0067258 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01070166 A (Indiana) | Secondary |
207Q00000X | Family Medicine | 35.129685 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osh-oh Physicians Group Pc | 1759639693 | 52 |
Entity Name | Osh-oh Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346747946 PECOS PAC ID: 1759639693 Enrollment ID: O20180808003187 |
Mailing Address | Practice Location Address |
---|---|
Dr Jan Gordon Cornell, MD Po Box 746071, Atlanta, GA 30374-6071 Ph: (312) 733-9730 | Dr Jan Gordon Cornell, MD 1431 Wayne Ave, Dayton, OH 45410-1411 Ph: (937) 348-7001 |
Dr. Derek Williamson Sherk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439 Phone: 937-293-2133 | |
Dr. Barbara A Bennett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424 Phone: 937-233-4252 Fax: 937-233-7605 | |
Jeffrey R Millard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388 | |
Dr. Teresa Zryd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Dayton, OH 45435 Phone: 937-245-7200 Fax: 937-245-7922 | |
Dr. Roger N Rizzardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-252-2000 | |
Dr. Robert Randall Schaffer, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 Fax: 513-423-3309 | |
Theresa Kern, MS,RN, AGCNS-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478 |