John W Coryell, NP-C in Chatsworth, GA - Medicare Nurse Practitioner

John W Coryell, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Chatsworth, Georgia. His current practice location is 102 Hospital Dr, Chatsworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 695-8313.

John W Coryell is licensed to practice in Indiana (license number F10190098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417587221.

Contact Information

	John W Coryell, NP-C
	102 Hospital Dr, Chatsworth, GA 30705-2058
	(706) 695-8313
	Not Available

Map and Direction

Provider's Profile

Full Name	John W Coryell
Gender	Male
Speciality	Nurse Practitioner - Family
Location	102 Hospital Dr, Chatsworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417587221
Provider Enumeration Date: 01/21/2020
Last Update Date: 07/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9133557796
Enrollment ID: I20200312001511

Medical Identifiers

Medical identifiers for John W Coryell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417587221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F10190098 (Indiana)	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. John W Coryell allows following entities to bill medicare on his behalf.

Entity Name	Shifa Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639107790 PECOS PAC ID: 1557363157 Enrollment ID: O20070212000216

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. John W Coryell 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
John W Coryell, NP-C 102 Hospital Dr, Chatsworth, GA 30705-2058 Ph: (706) 695-8313	John W Coryell, NP-C 102 Hospital Dr, Chatsworth, GA 30705-2058 Ph: (706) 695-8313

Reviews and Comments

Nurse Practitioner Nurses in Chatsworth, GA

Sara Rebekah Houston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705 Phone: 706-686-8050 Fax: 866-348-6516
Brenda Cheryl Dukas, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 N 3rd Ave, Chatsworth, GA 30705 Phone: 706-517-2273 Fax: 706-517-2469
Mrs. Laura Huber Nix, ARPN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Green Rd, Chatsworth, GA 30705 Phone: 706-517-2200 Fax: 706-517-2469
Kristen Slade, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705 Phone: 706-686-8050
Mrs. Dejah Rena Perry, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2976 Highway 76 Ste B, Chatsworth, GA 30705 Phone: 706-517-0656 Fax: 706-517-0651
Pamela Jean Key, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Green Rd, Chatsworth, GA 30705 Phone: 706-517-2200
Matthew Jonathan Adams, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2976 Highway 76 Ste B&c, Chatsworth, GA 30705 Phone: 706-517-0656 Fax: 706-517-0651

John W Coryell, NP-C - Medicare Nurse Practitioner in Chatsworth, GA