| Jonathan Philip Cornelius, MD | |
|
100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | |
| (615) 547-6700 | |
| (615) 547-6707 |
| Full Name | Jonathan Philip Cornelius |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 100 Physicians Way, Lebanon, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285843896 | NPI | - | NPPES |
| 1513462 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 44463 (Tennessee) | Secondary |
| 207X00000X | Orthopaedic Surgery | 44463 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Nashville, TN | Home health agency |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Macon Community Hospital | Lafayette, TN | Hospital |
| Vanderbilt Wilson County Hospital | Lebanon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Premier Orthopaedics And Sports Medicine Plc | 9032023320 | 40 |
| Entity Name | Premier Orthopaedics & Sports Medicine Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972577351 PECOS PAC ID: 9032023320 Enrollment ID: O20040301001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Philip Cornelius, MD Po Box 370, Fortson, GA 31808-0370 Ph: () - | Jonathan Philip Cornelius, MD 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 Ph: (615) 547-6700 |
Taylor George, ATC, LAT Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way Ste 110, Lebanon, TN 37090 Phone: 615-547-6700 | |
Jennifer Marie O'donnell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way Ste 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 | |
Christopher Cook, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-321-0200 | |
Dr. Shawn Patrick Mountain, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 | |
Martha Phillips George, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 153-210-2006 Fax: 615-443-5488 | |
Dr. Lucas Bryan Richie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 |