Mr Blaine Michael Cornelius, PA - Medicare Physician Assistant in Gothenburg, NE

Mr Blaine Michael Cornelius, PA is a medicare enrolled "Physician Assistant" in Gothenburg, Nebraska. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Mary Lanning Memorial Hospital Association and his current practice location is 619 10th St, Gothenburg, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 537-3674.

Mr Blaine Michael Cornelius is licensed to practice in Nebraska (license number 1251) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811941404.

Contact Information

Mr Blaine Michael Cornelius, PA
619 10th St,
Gothenburg, NE 69138-2063
(308) 537-3674
(308) 537-3675



Provider's Profile

Full NameMr Blaine Michael Cornelius
GenderMale
SpecialityPhysician Assistant
Experience19 Years
Location619 10th St, Gothenburg, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Blaine Michael Cornelius graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1811941404
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 01/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7618985474
  • Enrollment ID: I20060405000359

Medical Identifiers

Medical identifiers for Mr Blaine Michael Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811941404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1251 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Lanning HealthcareHastings, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Mary Lanning Memorial Hospital Association4587575550117

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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. Mr Blaine Michael Cornelius 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 Blaine Michael Cornelius, PA
Po Box 389,
Gothenburg, NE 69138-0389

Ph: (308) 537-3674
Mr Blaine Michael Cornelius, PA
619 10th St,
Gothenburg, NE 69138-2063

Ph: (308) 537-3674

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Physician Assistant Nurses in Gothenburg, NE

Mr. Aaron I Salomon, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 918 20th Street, Gothenburg, NE 69138
Phone: 308-537-7131    Fax: 308-537-7310
Jessica Paige Engler, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 910 20th St, Gothenburg, NE 69138
Phone: 308-537-3661    
Britney Ranee Wever, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 619 10th St, Gothenburg, NE 69138
Phone: 308-537-3673    Fax: 308-537-3675

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