Thea Sue Cornwell, MA, CCC-SLP in Monona, WI - Medicare Speech-Language Pathologist Provider

Thea Sue Cornwell, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Monona, Wisconsin. Her current practice location is 1050 E Broadway, Monona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 890-6110.

Thea Sue Cornwell is licensed to practice in Wisconsin (license number 6199) 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 1508599358.

Contact Information

	Thea Sue Cornwell, MA, CCC-SLP
	1050 E Broadway, Monona, WI 53716-4023
	(608) 890-6110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thea Sue Cornwell
Gender	Female
Speciality	Speech-language Pathologist
Location	1050 E Broadway, Monona, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508599358
Provider Enumeration Date: 07/07/2022
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5698156545
Enrollment ID: I20220722002813

Medical Identifiers

Medical identifiers for Thea Sue Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508599358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6199 (Wisconsin)	Primary
235Z00000X	Speech-language Pathologist	528308 (Minnesota)	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. Thea Sue Cornwell allows following entities to bill medicare on her behalf.

Provider Name	Mayo Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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. Thea Sue 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
Thea Sue Cornwell, MA, CCC-SLP 1050 E Broadway, Monona, WI 53716-4023 Ph: (608) 890-6110	Thea Sue Cornwell, MA, CCC-SLP 1050 E Broadway, Monona, WI 53716-4023 Ph: (608) 890-6110

Reviews and Comments

Speech-Language Pathologist in Monona, WI

Sunny Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 Femrite Dr Ste 103, Monona, WI 53716 Phone: 608-313-5332 Fax: 833-463-2126
Elizabeth Teresa Villagran, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3131
Aleah Blada, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1308 Joyce Rd, Monona, WI 53716 Phone: 608-963-9907

Thea Sue Cornwell, MA, CCC-SLP - Medicare Speech-Language Pathologist in Monona, WI