Dr Laura Beth Cornwell, MD | |
4001 Dutchmans Ln, Louisville, KY 40207-4714 | |
(502) 559-1794 | |
Not Available |
Full Name | Dr Laura Beth Cornwell |
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Gender | Female |
Speciality | Urology - Pediatric Urology |
Location | 4001 Dutchmans Ln, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871937979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | A160427 (California) | Secondary |
2088P0231X | Urology - Pediatric Urology | 55621 (Kentucky) | Primary |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
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Dr Laura Beth Cornwell, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Dr Laura Beth Cornwell, MD 4001 Dutchmans Ln, Louisville, KY 40207-4714 Ph: (502) 559-1794 |
Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825 | |
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999 | |
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Ross Micciche, Urology Medicare: Medicare Enrolled Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740 | |
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220 | |
Rosa Park, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 E Chestnut St Unit 510, Louisville, KY 40202 Phone: 502-588-4740 |