Stacey M Cornett, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Guilford, Indiana. She graduated from medical school in 1988 and has 37 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Mental Health Center Inc. and her current practice location is
6608 Stonegate Dr, Guilford, Indiana. You can reach out to her office (for appointments etc.) via phone at
(513) 673-6287.
Stacey M Cornett is licensed to practice in Ohio (license number I.1502015) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861545642.
Healthcare Provider's Profile
| Full Name | Stacey M Cornett |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 37 Years |
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| Location | 6608 Stonegate Dr, Guilford, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stacey M Cornett graduated from medical school in 1988
NPI Data:
- NPI Number: 1861545642
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 06/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 3779012448
- Enrollment ID: I20250124001322
Medical Identifiers
Medical identifiers for Stacey M Cornett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861545642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 34000078A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1502015 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Community Mental Health Center Inc. | 1456330166 | 35 |
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. Stacey M Cornett allows following entities to bill medicare on her behalf.
| Entity Name | Community Mental Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588732747 PECOS PAC ID: 1456330166 Enrollment ID: O20040722000158 |
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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. Stacey M Cornett 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 |
Stacey M Cornett, LCSW 5050 Madison Rd, Cincinnati, OH 45227-1491 Ph: (513) 272-2800 | Stacey M Cornett, LCSW 6608 Stonegate Dr, Guilford, IN 47022-9753 Ph: (513) 673-6287 |
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