Kathryn Davenport Cornell, APRN in Independence, KS

Kathryn Davenport Cornell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Independence, Kansas. Her current practice location is 122 W Myrtle St, Independence, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 577-4062.

Kathryn Davenport Cornell is licensed to practice in Kansas (license number 53-76887-072) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588030134.

Contact Information

	Kathryn Davenport Cornell, APRN
	122 W Myrtle St, Independence, KS 67301-3317
	(620) 577-4062
	(620) 577-4064

Map and Direction

Provider's Profile

Full Name	Kathryn Davenport Cornell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	122 W Myrtle St, Independence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588030134
Provider Enumeration Date: 08/18/2015
Last Update Date: 11/20/2018

Medicare PECOS Information:

PECOS PAC ID: 6608183629
Enrollment ID: I20150923001118

Medical Identifiers

Medical identifiers for Kathryn Davenport Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588030134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	13-102368-072 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	53-76887-072 (Kansas)	Primary

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. Kathryn Davenport Cornell allows following entities to bill medicare on her behalf.

Entity Name	Coffeyville Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265550891 PECOS PAC ID: 9032108865 Enrollment ID: O20040507000813

Entity Name	St John Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20101123000257

Entity Name	Truhealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20180607001526

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. Kathryn Davenport Cornell 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
Kathryn Davenport Cornell, APRN 800 W Laurel St, Independence, KS 67301-3211 Ph: (620) 332-3280	Kathryn Davenport Cornell, APRN 122 W Myrtle St, Independence, KS 67301-3317 Ph: (620) 577-4062

Reviews and Comments

Nurse Practitioner Nurses in Independence, KS

Jodi Oder, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Ms. Amanda Leigh Denton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-331-1940
Mary Ann Garner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Independence, KS 67301 Phone: 620-331-8190
Mrs. Mardie Anne Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1415 N Penn Ave, Independence, KS 67301 Phone: 620-331-2400 Fax: 620-331-0747
Erica Lea Whitson, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Mrs. Linda L Forbes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791
Dawn Mccaffery, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Peter Pan Rd, Independence, KS 67301 Phone: 620-577-4310 Fax: 620-577-4312

Kathryn Davenport Cornell, APRN - Medicare Nurse Practitioner in Independence, KS