Elizabeth Anne Corbello, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.INTE.PERMIT Issued in LA

Practice address

1301 Camellia Blvd
Suite 102
Lafayette, LA 70508-7089

Phone

(337) 233-3201

NPI assigned

Oct 9, 2007

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Orthopaedic Specialists LLCGroup PAC ID 1850469305, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana Orthopaedic Specialists, LLC

  dba Louisiana Orthopaedic Specialists

  • Clinic/Center
  • Lafayette, LA
  • NPI 1063669612
  Medicare reassignment Care Compare group
• Ambassador Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1316030844
  Medicare reassignment
• Coolidge Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1801140934
  Medicare reassignment
• Malcolm J Stubbs, MD, LLC

  • Orthopaedic Surgery Physician
  • Lafayette, LA
  • NPI 1275718454
  Medicare reassignment
• Neurological Associates of Louisiana, L.L.C.

  • Neurological Surgery Physician
  • Lafayette, LA
  • NPI 1083721856
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1649468224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CAMELLIA BLVD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087089",
            "telephone_number": "337-233-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CAMELLIA BLVD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087089",
            "telephone_number": "337-233-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBELLO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.INTE.PERMIT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113925",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhea Breann Cooper, M.S., PLPC
• Sasha Cooper
• Suzanne Cooper
• Allison Arabelle Copeland, CIT
• Keri Copponex, M.D.
• Maria Viviana Cordova, PLPC
• Ashley Cordray, LCSW
• Core Insight Counseling LLC
• Edward Kemp Coreil, MD
• Virginia B Coreil, M.D.

• Surgical Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.