Shannon L Cornwell, PA in Fullerton, CA - Medicare Physician Assistant

Shannon L Cornwell, PA is a medicare enrolled "Physician Assistant" in Fullerton, California. Her current practice location is 101 E Valencia Mesa Dr, Em Dept, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 992-3965.

Shannon L Cornwell is licensed to practice in California (license number PA17022) 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 1902961626.

Contact Information

	Shannon L Cornwell, PA
	101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809
	(714) 992-3965
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon L Cornwell
Gender	Female
Speciality	Physician Assistant
Location	101 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902961626
Provider Enumeration Date: 12/22/2006
Last Update Date: 03/11/2009

Medicare PECOS Information:

PECOS PAC ID: 8820079007
Enrollment ID: I20040525000656

Medical Identifiers

Medical identifiers for Shannon L Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902961626	NPI	-	NPPES
WPA17022A	Medicaid	CA
330311953	Other	CA	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA17022 (California)	Primary

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. Shannon L 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
Shannon L Cornwell, PA 4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664	Shannon L Cornwell, PA 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 Ph: (714) 992-3965

Reviews and Comments

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Shannon L Cornwell, PA - Medicare Physician Assistant in Fullerton, CA