| Joline M Cornell, CRNA | |
|
2600 Greenbush Street, Lafayette, IN 47904-2479 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Joline M Cornell |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2600 Greenbush Street, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821060989 | NPI | - | NPPES |
| 000000506889 | Other | IN | ANTHEM PROVIDER NUMBER |
| 9334559 | Other | IN | PHCS PID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 03796-NA (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28171228A (Indiana) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Entity Name | Southwest General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Joline M Cornell, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Joline M Cornell, CRNA 2600 Greenbush Street, Lafayette, IN 47904-2479 Ph: (765) 448-8000 |
Roger E. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Rhiannon H Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Autumn M Swann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
James M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Dora Renee Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Jeffrey Hood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Brianne Nicole Caniglia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |