| Cornerstone Family Physicians, P. C. | |
|
8902 N Meridian St Suite 230 Indianapolis IN 46260-5382 | |
| (317) 581-8888 | |
| (317) 705-7179 |
| Full Name | Cornerstone Family Physicians, P. C. |
|---|---|
| Speciality | Family Medicine |
| Location | 8902 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Shelly Renae Sturgis (SUPERVISOR) |
| Authorized Official Contact | 3175818888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Physicians, P. C. 8902 N Meridian St Suite 230 Indianapolis IN 46260-5382 Ph: (317) 581-8888 | Cornerstone Family Physicians, P. C. 8902 N Meridian St Suite 230 Indianapolis IN 46260-5382 Ph: (317) 581-8888 |
| NPI Number | 1770565830 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 5193746006 |
|---|---|
| Medicare Enrollment ID | O20051207000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770565830 | NPI | - | NPPES |
| 200379470A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01049047A (Indiana) | Primary |
| Provider Name | Theresa M Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427195486 PECOS PAC ID: 3678662079 Enrollment ID: I20071208000035 |
| Provider Name | Jackie L Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588657860 PECOS PAC ID: 6709807613 Enrollment ID: I20100414000070 |
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