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Opal Corell

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Carebridge Medical Group, 926 Main Street, Nashville, TN 37206

PECOS Enrollment

Based on the most recent information from CMS, provider Opal Corell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1245691898
Provider Type
Individual
Full Name
Corell, Opal
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
3/10/2016
Last Updated
5/23/2024

Contact Information

Practice Location

Carebridge Medical Group, 926 Main Street, Nashville, TN 37206

(615) 436-9060

(615) 235-9725

Mailing Location

3076 Huell Matthews Hwy, South Boston, VA 24592-7112

(434) 420-3020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024173337 Virginia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 500015429 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 35850 Tennessee
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11029676 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0035917 Ohio
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP002036 Georgia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AC006338 Maryland
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1153191 Texas
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5020067 North Carolina
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 28212 South Carolina
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 875857 Nevada
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 353978 New York

Opal Corell

PECOS Enrollment

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