Pamela S Cornwell, NP - Medicare Nurse Practitioner in Fort Wayne, IN

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Pamela S Cornwell, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. Her current practice location is 7411 Hope Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 264-5600.

Pamela S Cornwell is licensed to practice in Indiana (license number 71010035A) 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 1558753152.

Contact Information

Pamela S Cornwell, NP
7411 Hope Dr,
Fort Wayne, IN 46815-5687
(260) 264-5600
(260) 444-2082

Map and Direction




Provider's Profile

Full NamePamela S Cornwell
GenderFemale
SpecialityNurse Practitioner - Family
Location7411 Hope Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558753152
  • Provider Enumeration Date: 02/19/2015
  • Last Update Date: 04/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123444965
  • Enrollment ID: I20200811003067

Medical Identifiers

Medical identifiers for Pamela S Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558753152NPI-NPPES
100155290MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71010035A (Indiana)Primary
363LF0000XNurse Practitioner - Family 28150677A (Indiana)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. Pamela S Cornwell allows following entities to bill medicare on her behalf.
Entity NameLifespring Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851489942
PECOS PAC ID: 5294624508
Enrollment ID: O20040315000128
Entity NameIndiana University Health Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750763819
PECOS PAC ID: 0042526063
Enrollment ID: O20150904000941
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491

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. Pamela S 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
Pamela S Cornwell, NP
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Pamela S Cornwell, NP
7411 Hope Dr,
Fort Wayne, IN 46815-5687

Ph: (260) 264-5600

Reviews and Comments


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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.