Dr Kathryn Goodwin Cornelius, MD is a medicare enrolled "Emergency Medicine" physician in Pittsburg, Kansas. Her current practice location is
1 Mt Carmel Way, Pittsburg, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 231-6100.
Dr Kathryn Goodwin Cornelius is licensed to practice in Kansas (license number 04-43847) 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 1255371274.
Physician's Profile
| Full Name | Dr Kathryn Goodwin Cornelius |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 1 Mt Carmel Way, Pittsburg, Kansas |
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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: 1255371274
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 10/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143419945
- Enrollment ID: I20110110000682
Medical Identifiers
Medical identifiers for Dr Kathryn Goodwin Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255371274 | NPI | - | NPPES |
| 20008990A | Other | OK | MEDICAID |
| 204642102 | Medicaid | MO | |
| 243419306 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2002012667 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 04-43847 (Kansas) | 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. Dr Kathryn Goodwin Cornelius allows following entities to bill medicare on her behalf.
| Entity Name | Gateway Emergency Physicians Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699108282
PECOS PAC ID: 2668559808
Enrollment ID: O20080411000377 |
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| Entity Name | Mercy Hospital Carthage |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20141203001963 |
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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. Dr Kathryn Goodwin Cornelius 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 Kathryn Goodwin Cornelius, MD
4530 Se 105th St,
Galena, KS 66739-4103
Ph: (417) 529-0305 | Dr Kathryn Goodwin Cornelius, MD
1 Mt Carmel Way,
Pittsburg, KS 66762-7587
Ph: (620) 231-6100 |
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