Kevin Cornwell, OD is a medicare enrolled "Optometrist" provider in San Andreas, California. His current practice location is
1113a Hwy 49, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at
(209) 755-1480.
Kevin Cornwell is licensed to practice in California (license number 33361) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881060366.
Healthcare Provider's Profile
| Full Name | Kevin Cornwell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1113a Hwy 49, San Andreas, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Cornwell attended and graduated from in
NPI Data:
- NPI Number: 1881060366
- Provider Enumeration Date: 08/19/2015
- Last Update Date: 10/13/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881060366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 33361 (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. Kevin 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 |
|---|
Kevin Cornwell, OD
850 Stella Dr,
Murphys, CA 95247-9483
Ph: (321) 446-1902 | Kevin Cornwell, OD
1113a Hwy 49,
San Andreas, CA 95249-9524
Ph: (209) 755-1480 |
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