Larry W Cornwell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Johnson City, TN

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Larry W Cornwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, Tennessee. His current practice location is 1114 Sunset Dr, Suite 4, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 283-0776.

Larry W Cornwell is licensed to practice in Tennessee (license number RN0000050439) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841292810.

Contact Information

Larry W Cornwell, CRNA
1114 Sunset Dr, Suite 4,
Johnson City, TN 37604-2969
(423) 283-0776
(423) 283-0549

Map and Direction




Provider's Profile

Full NameLarry W Cornwell
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1114 Sunset Dr, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841292810
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8628037462
  • Enrollment ID: I20041006001473

Medical Identifiers

Medical identifiers for Larry W Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841292810NPI-NPPES
3606965MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN0000050439 (Tennessee)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. Larry W Cornwell allows following entities to bill medicare on his behalf.
Entity NameFoothills Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285873380
PECOS PAC ID: 9335296466
Enrollment ID: O20090407000500
Entity NameKnoxville Gastroenterology Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356717227
PECOS PAC ID: 8325357155
Enrollment ID: O20151019001298
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200801000026

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. Larry W Cornwell 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 AddressPractice Location Address
Larry W Cornwell, CRNA
Po Box 1070,
Johnson City, TN 37605-1070

Ph: (423) 283-0776		Larry W Cornwell, CRNA
1114 Sunset Dr, Suite 4,
Johnson City, TN 37604-2969

Ph: (423) 283-0776

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Johnson City, TN

Shawn D Bright, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Lisa W Green, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Marcos D Demoura, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604
Phone: 423-794-3142    
Chasity A Huffman, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-968-5697
Mrs. Jewel B Welch, CRNAP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-283-0776    
Johnny Lee Estep, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-282-0776    
Samuel V Davenport, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.