| Dr Colton Tyler Cornett, DO | |
|
226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | |
| (606) 633-4871 | |
| Not Available |
| Full Name | Dr Colton Tyler Cornett |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 226 Medical Plaza Ln, Whitesburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326543836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 05012 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Mountain Comprehensive Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417900242 PECOS PAC ID: 7618875873 Enrollment ID: O20031224000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colton Tyler Cornett, DO Po Box 40, Whitesburg, KY 41858-0040 Ph: (606) 633-4823 | Dr Colton Tyler Cornett, DO 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 Ph: (606) 633-4871 |
Megan C. Fuller, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 226 Medical Plaza Ln, Whitesburg, KY 41858 Phone: 606-633-4871 Fax: 606-633-0883 | |
Dr. Vahid Mehrpouyan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 214 Hospital Rd, Whitesburg, KY 41858 Phone: 606-633-3631 Fax: 606-633-6204 | |
Chalapathi G Rao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 214 Hospital Rd, Whitesburg, KY 41858 Phone: 606-633-3631 Fax: 606-633-6204 |