Mr Charles Cornwall Jr, MA - Psychologist in Towanda, PA

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Mr Charles Cornwall Jr, MA is a Psychologist based in Towanda, Pennsylvania. Mr Charles Cornwall Jr is licensed to practice in Pennsylvania (license number PS002239L) and his current practice location is 21 Main St, Towanda, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (570) 265-2525.

NPI number for Mr Charles Cornwall Jr is 1730272618 and his current mailing address is Po Box 104, 202 Second St., Ulster, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730272618.

Contact Information

Mr Charles Cornwall Jr, MA
21 Main St,
Towanda, PA 18848-1803
(570) 265-2525
(570) 265-1075

Map and Direction




Healthcare Provider's Profile

Full NameMr Charles Cornwall Jr
GenderMale
SpecialityPsychologist
Location21 Main St, Towanda, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730272618
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Charles Cornwall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730272618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS002239L (Pennsylvania)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. Mr Charles Cornwall Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Cornwall Jr, MA
Po Box 104, 202 Second St.,
Ulster, PA 18850-0104

Ph: (570) 358-3905		Mr Charles Cornwall Jr, MA
21 Main St,
Towanda, PA 18848-1803

Ph: (570) 265-2525

Reviews and Comments


Psychologist in Towanda, PA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.