| Matthew Gerald Cornu, MS | |
|
1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | |
| (859) 253-1686 | |
| Not Available |
| Full Name | Matthew Gerald Cornu |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1351 Newtown Pike Bldg 1, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922639129 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 287652 (Kentucky) | Primary |
| Entity Name | New Vista Of The Bluegrass Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Gerald Cornu, MS 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 Ph: (859) 253-1686 | Matthew Gerald Cornu, MS 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 Ph: (859) 253-1686 |
Ms. Julia Housiaux Caldwell, LICENSEDPSYCHOLOGIST Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 823 Melrose Ave, Lexington, KY 40502 Phone: 414-379-7785 | |
Jennifer Scott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1050 Chinoe Rd Ste 203, Lexington, KY 40502 Phone: 859-554-0740 | |
Laura Wafer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 Mechanic St, Lexington, KY 40507 Phone: 859-229-1704 | |
Mrs. Miranda Gill, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1255 Providence Place Pkwy Ste 115, Lexington, KY 40511 Phone: 216-468-5000 | |
Abigail Charin Ford, MS, LMFT. Couples Therapy Medicare: Medicare Enrolled Practice Location: 2285 Executive Dr, Lexington, KY 40505 Phone: 859-780-2442 | |
William E Nolan, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 861 Corporate Dr, Suite 103, Lexington, KY 40503 Phone: 859-224-2022 Fax: 859-224-2024 | |
Kelly Sherlock-coffee, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144 |