Holly Jean Cornwell, RN in Portland, OR - Medicare Registered Nurse

Holly Jean Cornwell, RN is a medicare enrolled "Registered Nurse - Diabetes Educator" in Portland, Oregon. Her current practice location is 501 N Graham St, Suite 375, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-1600.

Holly Jean Cornwell is licensed to practice in Oregon (license number 200841070RN) 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 1508189317.

Contact Information

	Holly Jean Cornwell, RN
	501 N Graham St, Suite 375, Portland, OR 97227-1654
	(503) 413-1600
	(503) 413-1915

Map and Direction

Provider's Profile

Full Name	Holly Jean Cornwell
Gender	Female
Speciality	Registered Nurse - Diabetes Educator
Location	501 N Graham St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508189317
Provider Enumeration Date: 03/08/2010
Last Update Date: 08/13/2014

Medicare PECOS Information:

PECOS PAC ID: 8022327618
Enrollment ID: I20151021003080

Medical Identifiers

Medical identifiers for Holly Jean Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508189317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WD0400X	Registered Nurse - Diabetes Educator	200841070RN (Oregon)	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. Holly Jean Cornwell allows following entities to bill medicare on her behalf.

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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. Holly Jean Cornwell 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
Holly Jean Cornwell, RN 501 N Graham St, Suite 375, Portland, OR 97227-1654 Ph: (503) 413-1600	Holly Jean Cornwell, RN 501 N Graham St, Suite 375, Portland, OR 97227-1654 Ph: (503) 413-1600

Reviews and Comments

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Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757
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Holly Jean Cornwell, RN - Medicare Registered Nurse in Portland, OR