Raymond L Cornelison, MD is a medicare enrolled "Dermatology" physician in Chickasha, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1968 and has 57 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Clinton Hospital Authority, Southern Plains Medical Center Inc and his current practice location is
2222 W Iowa Ave, Chickasha, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 224-8111.
Raymond L Cornelison is licensed to practice in Oklahoma (license number 9074) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003884339.
Physician's Profile
| Full Name | Raymond L Cornelison |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 57 Years |
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| Location | 2222 W Iowa Ave, Chickasha, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Raymond L Cornelison attended and graduated from University Of Oklahoma College Of Medicine in 1968
NPI Data:
- NPI Number: 1003884339
- Provider Enumeration Date: 03/11/2006
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567478860
- Enrollment ID: I20060223000438
Medical Identifiers
Medical identifiers for Raymond L Cornelison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003884339 | NPI | - | NPPES |
| 1528364304 | Other | OK | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0900X | Dermatology - Dermatopathology | 9074 (Oklahoma) | Secondary |
| 207N00000X | Dermatology | 9074 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clinton Hospital Authority | 5092163873 | 14 |
| Southern Plains Medical Center Inc | 5991618969 | 11 |
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. Raymond L Cornelison allows following entities to bill medicare on his behalf.
| Entity Name | Southern Plains Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962469098
PECOS PAC ID: 5991618969
Enrollment ID: O20031106000698 |
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| Entity Name | Luminary Dermatology Of Oklahoma Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730758541
PECOS PAC ID: 4284030701
Enrollment ID: O20210909000819 |
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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. Raymond L Cornelison 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 |
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Raymond L Cornelison, MD
2222 W Iowa Ave,
Chickasha, OK 73018-2738
Ph: (405) 224-8111 | Raymond L Cornelison, MD
2222 W Iowa Ave,
Chickasha, OK 73018-2738
Ph: (405) 224-8111 |
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