Katie Ann Cornelius, in Lafayette, IN - Medicare Nurse Practitioner

Katie Ann Cornelius, is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. Her current practice location is 3518 Pine Ln, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 337-4846.

Katie Ann Cornelius is licensed to practice in Indiana (license number 28173431A) 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 1205697836.

Contact Information

	Katie Ann Cornelius,
	3518 Pine Ln, Lafayette, IN 47905-4077
	(765) 337-4846
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Ann Cornelius
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3518 Pine Ln, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205697836
Provider Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1052859469
Enrollment ID: I20240816001040

Medical Identifiers

Medical identifiers for Katie Ann Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205697836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28173431A (Indiana)	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. Katie Ann Cornelius allows following entities to bill medicare on her behalf.

Entity Name	Valley Oaks Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286

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. Katie Ann Cornelius 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
Katie Ann Cornelius, 3518 Pine Ln, Lafayette, IN 47905-4077 Ph: (765) 337-4846	Katie Ann Cornelius, 3518 Pine Ln, Lafayette, IN 47905-4077 Ph: (765) 337-4846

Reviews and Comments

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Katie Ann Cornelius, - Medicare Nurse Practitioner in Lafayette, IN