Jennie L Cornell, is a medicare enrolled "Social Worker - Clinical" provider in Bismarck, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Summit Counseling Inc and her current practice location is
914 S 12th St Ste 101, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 255-4242.
Jennie L Cornell is licensed to practice in North Dakota (license number 3840) 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 1437380763.
Healthcare Provider's Profile
Full Name | Jennie L Cornell |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 15 Years |
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Location | 914 S 12th St Ste 101, Bismarck, North Dakota |
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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:
- Jennie L Cornell attended and graduated from University Of North Dakota School Of Medicine in 2009
NPI Data:
- NPI Number: 1437380763
- Provider Enumeration Date: 08/04/2009
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173662046
- Enrollment ID: I20150603001735
Medical Identifiers
Medical identifiers for Jennie L Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437380763 | NPI | - | NPPES |
P00898858 | Other | SD | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 3118 (South Dakota) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1945 (North Dakota) | Secondary |
1041C0700X | Social Worker - Clinical | 3840 (North Dakota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Summit Counseling Inc | 1153603162 | 4 |
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. Jennie L Cornell allows following entities to bill medicare on her behalf.
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
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Entity Name | Summit Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427593698 PECOS PAC ID: 1153603162 Enrollment ID: O20170127001347 |
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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. Jennie L 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 |
Jennie L Cornell, 1716 9th Ave Se, Mandan, ND 58554-4819 Ph: (218) 790-3636 | Jennie L Cornell, 914 S 12th St Ste 101, Bismarck, ND 58504-5941 Ph: (701) 255-4242 |
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