| Dr Kathryn Goodwin Cornelius, MD | |
|
1 Mt Carmel Way, Pittsburg, KS 66762-7587 | |
| (620) 231-6100 | |
| Not Available |
| Full Name | Dr Kathryn Goodwin Cornelius |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1 Mt Carmel Way, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255371274 | NPI | - | NPPES |
| 20008990A | Other | OK | MEDICAID |
| 204642102 | Medicaid | MO | |
| 243419306 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2002012667 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 04-43847 (Kansas) | Primary |
| Entity Name | Sound Physicians Emergency Medicine Of Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831689934 PECOS PAC ID: 6800141672 Enrollment ID: O20180619001843 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathryn Goodwin Cornelius, MD 4530 Se 105th St, Galena, KS 66739-4103 Ph: (417) 529-0305 | Dr Kathryn Goodwin Cornelius, MD 1 Mt Carmel Way, Pittsburg, KS 66762-7587 Ph: (620) 231-6100 |
Dr. Nathan Anthony Grimaldi, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 | |
Dr. Titus Jack Weller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 |