Terrah L Cornell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cuba, Illinois. Her current practice location is
114 S 4th St, Cuba, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 202-6780.
Terrah L Cornell is licensed to practice in Illinois (license number 277000357) 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 1336371269.
Provider's Profile
Full Name | Terrah L Cornell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 114 S 4th St, Cuba, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336371269
- Provider Enumeration Date: 08/11/2009
- Last Update Date: 03/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608060397
- Enrollment ID: I20101026001407
Medical Identifiers
Medical identifiers for Terrah L Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336371269 | NPI | - | NPPES |
809840 | Other | IL | MEDICARE GROUP # |
809840051 | Other | IL | MEDICARE INDIVIDUAL # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 209-007698 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277000357 (Illinois) | 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. Terrah L Cornell 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 |
Terrah L Cornell, FNP 114 S 4th St, Cuba, IL 61427-5062 Ph: (309) 202-6780 | Terrah L Cornell, FNP 114 S 4th St, Cuba, IL 61427 Ph: (309) 202-6780 |
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