Cornerstone Family Medicine - Medicare Primary Care in Mesa, AZ

Cornerstone Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Mesa, Arizona. The current practice location for Cornerstone Family Medicine is 4545 E Southern Ave Ste 103, Mesa, Arizona. For appointments, you can reach them via phone at (480) 981-6100. The mailing address for Cornerstone Family Medicine is 4545 E Southern Ave, Suite 103, Mesa, Arizona and phone number is (480) 981-6100.

Cornerstone Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376664540. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (480) 981-6100.

Contact Information

Cornerstone Family Medicine
4545 E Southern Ave Ste 103
Mesa
AZ 85206-2677
(480) 981-6100
(480) 981-5501

Map and Direction


Primary Care Clinic Profile

Full NameCornerstone Family Medicine
SpecialityFamily Medicine
Location4545 E Southern Ave Ste 103, Mesa, Arizona
Authorized Official Name and PositionKendra Thompson (DIRECTOR)
Authorized Official Contact4809816100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cornerstone Family Medicine
4545 E Southern Ave
Suite 103
Mesa
AZ 85206

Ph: (480) 981-6100
Cornerstone Family Medicine
4545 E Southern Ave Ste 103
Mesa
AZ 85206-2677

Ph: (480) 981-6100

NPI Details:

NPI Number1376664540
Provider Enumeration Date04/03/2007
Last Update Date05/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8921082223
Medicare Enrollment IDO20040615000793

Medical Identifiers

Medical identifiers for Cornerstone Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376664540NPI-NPPES
489254MedicaidAZ
411863MedicaidAZ
080179242OtherAZRAILROAD MEDICARE PROVIDER #
080181881OtherAZRAILROAD MEDICARE PROVIDER ID #
482323MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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 Family Medicine acts as a billing entity for following providers:
Provider NameBrett E Willden
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1174515134
PECOS PAC ID: 9830082510
Enrollment ID: I20040206000836
Provider NameJeffery Dick Willden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831243294
PECOS PAC ID: 4587604020
Enrollment ID: I20050513000637
Provider NameRustin W Crawford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659419091
PECOS PAC ID: 2961539358
Enrollment ID: I20100415000743
Provider NameConnie Mcleod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598154577
PECOS PAC ID: 6608195466
Enrollment ID: I20150430000002
Provider NameMary Jane Obrien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851842447
PECOS PAC ID: 5890076012
Enrollment ID: I20161230001701
Provider NameJenny Haag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649628280
PECOS PAC ID: 3072806793
Enrollment ID: I20170504001270
Provider NameFiona I Henderson Power
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902326937
PECOS PAC ID: 8921370297
Enrollment ID: I20170821003233
Provider NameMary Clouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982128351
PECOS PAC ID: 1456627611
Enrollment ID: I20171017000508
Provider NameDavid Cresap
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457863334
PECOS PAC ID: 1456618990
Enrollment ID: I20171207003399
Provider NameBianca P Garcia Kendall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578074134
PECOS PAC ID: 3476885088
Enrollment ID: I20191031002536
Provider NameRachel Margaret Greatwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912431800
PECOS PAC ID: 9739512534
Enrollment ID: I20210713000462
Provider NameSara Margaret Johansen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821672601
PECOS PAC ID: 6709246184
Enrollment ID: I20230717002647

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.