Courtney Mae Cornell, LPC in Kenosha, WI - Medicare Counselor Provider

Courtney Mae Cornell, LPC is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. Her current practice location is 2900 Roosevelt Rd, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 997-9411.

Courtney Mae Cornell is licensed to practice in Wisconsin (license number 10152-25) 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 1710569165.

Contact Information

	Courtney Mae Cornell, LPC
	2900 Roosevelt Rd, Kenosha, WI 53143-4642
	(262) 997-9411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Mae Cornell
Gender	Female
Speciality	Counselor - Professional
Location	2900 Roosevelt Rd, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710569165
Provider Enumeration Date: 04/26/2021
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1658817689
Enrollment ID: I20240725002739

Medical Identifiers

Medical identifiers for Courtney Mae Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710569165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10152-25 (Wisconsin)	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. Courtney Mae Cornell allows following entities to bill medicare on her behalf.

Entity Name	Empower Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467131441 PECOS PAC ID: 6305292574 Enrollment ID: O20231024002246

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. Courtney Mae Cornell 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
Courtney Mae Cornell, LPC 2900 Roosevelt Rd, Kenosha, WI 53143-4642 Ph: (262) 997-9411	Courtney Mae Cornell, LPC 2900 Roosevelt Rd, Kenosha, WI 53143-4642 Ph: (262) 997-9411

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Accepting Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Laura Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Jami Lynn Pomeroy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Madeline Marie Beth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Green Bay Rd, Kenosha, WI 53144 Phone: 708-738-6077
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-452-3684 Fax: 262-330-1475

Courtney Mae Cornell, LPC - Medicare Counselor in Kenosha, WI