Mrs Coretta Stallworth, FNP -C in Cincinnati, OH

Mrs Coretta Stallworth, FNP -C is a medicare enrolled "Nurse Practitioner - Family" in Cincinnati, Ohio. Her current practice location is 3333 Burnet Avenue, Mlc 6015, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 636-0800.

Mrs Coretta Stallworth is licensed to practice in Ohio (license number COA-15366-NP) 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 1073943106.

Contact Information

	Mrs Coretta Stallworth, FNP -C
	3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026
	(513) 636-0800
	(513) 803-0823

Map and Direction

Provider's Profile

Full Name	Mrs Coretta Stallworth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3333 Burnet Avenue, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073943106
Provider Enumeration Date: 11/27/2013
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5496976599
Enrollment ID: I20141014001306

Medical Identifiers

Medical identifiers for Mrs Coretta Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073943106	NPI	-	NPPES
1073943106	Other	OH	NPI
0098923	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	COA 15366 NP (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	COA-15366-NP (Ohio)	Primary
363L00000X	Nurse Practitioner	APRN.CNP.15366 (Ohio)	Secondary

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. Mrs Coretta Stallworth allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

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. Mrs Coretta Stallworth 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
Mrs Coretta Stallworth, FNP -C 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 Ph: (513) 636-0800	Mrs Coretta Stallworth, FNP -C 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 Ph: (513) 636-0800

Reviews and Comments

Nurse Practitioner Nurses in Cincinnati, OH

Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734
Ms. Darcel Derri Bolser, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Cincinnati, OH 45220 Phone: 513-475-6524 Fax: 513-475-6525
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316

Mrs Coretta Stallworth, FNP -C - Medicare Nurse Practitioner in Cincinnati, OH