Cornerstone Integrative Medicine is a medicare enrolled "Internal Medicine" provider in Oakland, California. Their current practice location is
3012 Summit St Ste 2675, Oakland, California. You can reach out to their office (for appointments etc.) via phone at
(510) 869-6740.
Cornerstone Integrative Medicine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cornerstone Integrative Medicine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881249332.
Healthcare Provider's Profile
| Full Name | Cornerstone Integrative Medicine |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 3012 Summit St Ste 2675, Oakland, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881249332
- Provider Enumeration Date: 08/01/2019
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193142537
- Enrollment ID: O20200831000722
Medical Identifiers
Medical identifiers for Cornerstone Integrative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881249332 | NPI | - | NPPES |
| 1346573094 | Medicaid | CA | |
| 1790937506 | Medicaid | CA | |
| 1932538121 | Medicaid | CA | |
| 1831124080 | Medicaid | CA | |
| 1861427684 | Medicaid | CA | |
| 1770571077 | Medicaid | CA | |
| 1245404607 | Medicaid | TN | |
| 1558678201 | Medicaid | CA | |
| 1003114463 | Medicaid | CA | |
| 1295995256 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Cornerstone Integrative Medicine acts as a billing entity for following providers:
| Provider Name | Amy Li Matecki |
|---|
| Provider Type | Practitioner - Hematology/oncology |
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| Provider Identifiers | NPI Number: 1770571077
PECOS PAC ID: 9537072384
Enrollment ID: I20031107000717 |
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| Provider Name | Lori E Shore |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1790937506
PECOS PAC ID: 4284534272
Enrollment ID: I20040113000779 |
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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. Cornerstone Integrative Medicine 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 |
|---|
Cornerstone Integrative Medicine
3012 Summit St Ste 2675,
Oakland, CA 94609-3480
Ph: (510) 326-4649 | Cornerstone Integrative Medicine
3012 Summit St Ste 2675,
Oakland, CA 94609-3480
Ph: (510) 869-6740 |
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