| Cornerstone Family Practice, Plc | |
|
2852 Eyde Pkwy Ste 175 East Lansing MI 48823-5378 | |
| (517) 333-4600 | |
| (517) 333-4996 |
| Full Name | Cornerstone Family Practice, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 2852 Eyde Pkwy Ste 175, East Lansing, Michigan |
| Authorized Official Name and Position | Rebekah Sue Anderson (PRACTICE MANAGER) |
| Authorized Official Contact | 5173334600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Practice, Plc 2852 Eyde Pkwy Suite 175 East Lansing MI 48823-5378 Ph: (517) 333-4600 | Cornerstone Family Practice, Plc 2852 Eyde Pkwy Ste 175 East Lansing MI 48823-5378 Ph: (517) 333-4600 |
| NPI Number | 1275655920 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 1052360245 |
|---|---|
| Medicare Enrollment ID | O20050114000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275655920 | NPI | - | NPPES |
| 080C311550 | Other | MI | BCBS |
| G07108 | Other | MI | BCN GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ivan D Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760757561 PECOS PAC ID: 4880916089 Enrollment ID: I20141125000419 |
Gary H. Dwight, D.d.s., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-333-9500 Fax: 517-333-9509 | |
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