Mr William Lane Kornegay, APRN - Medicare Nurse Practitioner in New London, CT

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Mr William Lane Kornegay, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New London, Connecticut. His current practice location is 21 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 439-6400.

Mr William Lane Kornegay is licensed to practice in Connecticut (license number 2022030521) 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 1366160277.

Contact Information

Mr William Lane Kornegay, APRN
21 Montauk Ave,
New London, CT 06320-4906
(860) 439-6400
(860) 390-1463

Map and Direction




Provider's Profile

Full NameMr William Lane Kornegay
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location21 Montauk Ave, New London, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366160277
  • Provider Enumeration Date: 08/16/2022
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557733847
  • Enrollment ID: I20230215000484

Medical Identifiers

Medical identifiers for Mr William Lane Kornegay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366160277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2022030521 (Connecticut)Primary
163W00000XRegistered Nurse 116351 (Connecticut)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 11161 (Connecticut)Secondary

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. Mr William Lane Kornegay allows following entities to bill medicare on his behalf.
Entity NameSound Community Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396700886
PECOS PAC ID: 7517981517
Enrollment ID: O20060117001127
Entity NameStep Up Care Pc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156
Entity NameLong Point Psychiatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427764877
PECOS PAC ID: 1456726017
Enrollment ID: O20230412002318

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. Mr William Lane Kornegay 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
Mr William Lane Kornegay, APRN
54 Ronald Rd,
Groton, CT 06340-3819

Ph: (860) 235-6983		Mr William Lane Kornegay, APRN
21 Montauk Ave,
New London, CT 06320-4906

Ph: (860) 439-6400

Reviews and Comments


Nurse Practitioner Nurses in New London, CT

Mr. Stephen Daniel Socha, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Mrs. Susan H. Austen, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 15 Mohegan Ave,, New London, CT 06320
Phone: 860-437-3611    Fax: 860-437-1801
Eliza C Spears, FNP-BC
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Practice Location: 254 Hempstead St, New London, CT 06320
Phone: 860-437-4550    
Melissa Milvenan, RN, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Shaws Cv, New London, CT 06320
Phone: 860-447-8304    
Emily Antonia Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 234a Bank St, New London, CT 06320
Phone: 860-442-0290    
Ms. Eileen Joy Odonnell, RN, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 345 Montauk Ave, New London, CT 06320
Phone: 860-444-6711    Fax: 860-437-0650
Katherine Joanne Luther, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    Fax: 860-444-5114

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.