Dr Courtney Racquel Cornick, PHD in Hines, IL - Medicare Psychologist Provider

Dr Courtney Racquel Cornick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hines, Illinois. Her current practice location is 5000 S 5th Ave, Hines Va Hospital/ Bldg 128 Rm A114, Hines, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 202-8387.

Dr Courtney Racquel Cornick is licensed to practice in Wisconsin (license number 3422-57) 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 1164973707.

Contact Information

	Dr Courtney Racquel Cornick, PHD
	5000 S 5th Ave, Hines Va Hospital/ Bldg 128 Rm A114, Hines, IL 60141-3030
	(708) 202-8387
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Courtney Racquel Cornick
Gender	Female
Speciality	Psychologist - Clinical
Location	5000 S 5th Ave, Hines, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164973707
Provider Enumeration Date: 10/19/2016
Last Update Date: 10/19/2016

Medicare PECOS Information:

PECOS PAC ID: 2365870482
Enrollment ID: I20200323002858

Medical Identifiers

Medical identifiers for Dr Courtney Racquel Cornick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164973707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3422-57 (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. Dr Courtney Racquel Cornick allows following entities to bill medicare on her behalf.

Entity Name	Evolutis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821657941 PECOS PAC ID: 5597193607 Enrollment ID: O20200323002590

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. Dr Courtney Racquel Cornick 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
Dr Courtney Racquel Cornick, PHD 664 Lakewood Farms Dr, Bolingbrook, IL 60490-3164 Ph: (630) 310-9472	Dr Courtney Racquel Cornick, PHD 5000 S 5th Ave, Hines Va Hospital/ Bldg 128 Rm A114, Hines, IL 60141-3030 Ph: (708) 202-8387

Reviews and Comments

Psychologist in Hines, IL

Allison Abel, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave # 411b, Hines, IL 60141 Phone: 708-202-8387
Dr. Scott Walter Maieritsch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5th & Roosevelt Rd, Hines, IL 60141 Phone: 708-202-8387
Dr. Jamie L Mathews, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387
Kathleen Colangelo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387
Iulia Irina Gambro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387
Dr. Tomasz P Andrusyna, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-7846
Dr. Kristin Nicole Raley, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, 116b, Hines, IL 60141 Phone: 708-202-8387

Dr Courtney Racquel Cornick, PHD - Medicare Psychologist in Hines, IL