| Cornerstone Family Practice Pc | |
|
1411 S Potomac St Suite 300 Aurora CO 80012-4536 | |
| (303) 531-4910 | |
| Not Available |
| Full Name | Cornerstone Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1411 S Potomac St, Aurora, Colorado |
| Authorized Official Name and Position | Lisa K Gieseke (PHYSICIAN OWNER) |
| Authorized Official Contact | 3035314910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Practice Pc 1411 S Potomac St Suite 300 Aurora CO 80012-4536 Ph: (303) 531-4910 | Cornerstone Family Practice Pc 1411 S Potomac St Suite 300 Aurora CO 80012-4536 Ph: (303) 531-4910 |
| NPI Number | 1386849065 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 05/10/2011 |
| Medicare PECOS PAC ID | 1759272529 |
|---|---|
| Medicare Enrollment ID | O20040322001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386849065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa K Gieseke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831124411 PECOS PAC ID: 2062303845 Enrollment ID: I20050117000158 |
| Provider Name | Heather M Brougham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003136789 PECOS PAC ID: 1658508643 Enrollment ID: I20131219000663 |
| Provider Name | Megan Trecartin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477940948 PECOS PAC ID: 5890094916 Enrollment ID: I20231111000335 |
| Provider Name | Adrienne M Ide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356875603 PECOS PAC ID: 7416397328 Enrollment ID: I20240425001971 |
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