Mrs Jaquelynn Elizabeth Cornelius, LPC in Meridian, ID

Mrs Jaquelynn Elizabeth Cornelius, LPC is a medicare enrolled "Counselor - Professional" provider in Meridian, Idaho. Her current practice location is 2596 N Stokesberry Pl, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 918-1636.

Mrs Jaquelynn Elizabeth Cornelius is licensed to practice in Idaho (license number 8684) 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 1184374241.

Contact Information

	Mrs Jaquelynn Elizabeth Cornelius, LPC
	2596 N Stokesberry Pl, Meridian, ID 83646-6114
	(208) 918-1636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jaquelynn Elizabeth Cornelius
Gender	Female
Speciality	Counselor - Professional
Location	2596 N Stokesberry Pl, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184374241
Provider Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022

Medicare PECOS Information:

PECOS PAC ID: 9537679501
Enrollment ID: I20250609002666

Medical Identifiers

Medical identifiers for Mrs Jaquelynn Elizabeth Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184374241	NPI	-	NPPES
8684	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	8684 (Idaho)	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. Mrs Jaquelynn Elizabeth Cornelius allows following entities to bill medicare on her behalf.

Entity Name	Willow Emotional & Relational Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003492729 PECOS PAC ID: 9739609165 Enrollment ID: O20250227003802

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. Mrs Jaquelynn Elizabeth Cornelius 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
Mrs Jaquelynn Elizabeth Cornelius, LPC 2596 N Stokesberry Pl, Meridian, ID 83646-6114 Ph: (208) 918-1636	Mrs Jaquelynn Elizabeth Cornelius, LPC 2596 N Stokesberry Pl, Meridian, ID 83646-6114 Ph: (208) 918-1636

Reviews and Comments

Counselor in Meridian, ID

Diane Smith, Counselor Medicare: Medicare Enrolled Practice Location: 2131 S Bonito Way, Meridian, ID 83642 Phone: 208-202-4732
Gregory M Deitchler, MA L.M.F.T., L.P.C., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3061 S. Meridian Rd., Suite 100, Meridian, ID 83642 Phone: 208-350-0330 Fax: 208-576-6915
Mrs. Chris Zukowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 S Topaz Way, Meridian, ID 83642 Phone: 208-888-3151
Tami Marie Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646 Phone: 208-890-7165
Courtney S. Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1047 S Wells St, Meridian, ID 83642 Phone: 208-670-5551
Shelby Martini, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ustick Rd Ste 120, Meridian, ID 83646 Phone: 208-506-0520
Chad Gold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 E Magic View Dr Ste 192, Meridian, ID 83642 Phone: 208-843-4003

Mrs Jaquelynn Elizabeth Cornelius, LPC - Medicare Counselor in Meridian, ID