Stacey M Cornett, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Guilford, Indiana. 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 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 1861545642.
Healthcare Provider's Profile
Full Name | Stacey M Cornett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6608 Stonegate Dr, Guilford, Indiana |
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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: 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 |
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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