Lauren Marie Cornette, APNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Suamico, Wisconsin. Her current practice location is
2918 Whippoorwill Rd, Suamico, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 973-0968.
Lauren Marie Cornette is licensed to practice in Wisconsin (license number 13841) 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 1164113288.
Provider's Profile
| Full Name | Lauren Marie Cornette |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 2918 Whippoorwill Rd, Suamico, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164113288
- Provider Enumeration Date: 05/18/2023
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911439146
- Enrollment ID: I20241014001381
Medical Identifiers
Medical identifiers for Lauren Marie Cornette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164113288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 13841 (Wisconsin) | 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. Lauren Marie Cornette allows following entities to bill medicare on her behalf.
| Entity Name | Oneida Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077 |
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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. Lauren Marie Cornette 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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Lauren Marie Cornette, APNP
2918 Whippoorwill Rd,
Suamico, WI 54313-8126
Ph: (920) 973-0968 | Lauren Marie Cornette, APNP
2918 Whippoorwill Rd,
Suamico, WI 54313-8126
Ph: (920) 973-0968 |
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