| Cornerstone Clinic Llc | |
|
2558 Post Rd Plover WI 54467-3331 | |
| (715) 600-2798 | |
| Not Available |
| Full Name | Cornerstone Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2558 Post Rd, Plover, Wisconsin |
| Authorized Official Name and Position | Dave Prince (BUSINESS MANAGER) |
| Authorized Official Contact | 7156002798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Clinic Llc 2558 Post Rd Plover WI 54467-3331 Ph: (715) 600-2798 | Cornerstone Clinic Llc 2558 Post Rd Plover WI 54467-3331 Ph: (715) 600-2798 |
| NPI Number | 1861037293 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 0042645046 |
|---|---|
| Medicare Enrollment ID | O20200122000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861037293 | NPI | - | NPPES |
| Provider Name | Jonathan J Cotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003989724 PECOS PAC ID: 8628008125 Enrollment ID: I20050815000720 |
| Provider Name | Jill L Tetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568549145 PECOS PAC ID: 2567464878 Enrollment ID: I20070215000071 |
| Provider Name | Jennifer J Borchardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245589787 PECOS PAC ID: 0749500858 Enrollment ID: I20150513000832 |
| Provider Name | Demaris L Losinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437554441 PECOS PAC ID: 1153611801 Enrollment ID: I20160608001172 |
| Provider Name | Janelle R Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871916734 PECOS PAC ID: 9234413188 Enrollment ID: I20170221002646 |
| Provider Name | Jessica A Ryan-geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409485 PECOS PAC ID: 5193086643 Enrollment ID: I20180227000314 |
| Provider Name | Kessa A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171857 PECOS PAC ID: 5991055956 Enrollment ID: I20180912002511 |
| Provider Name | Lauren Baxter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679112858 PECOS PAC ID: 1557799475 Enrollment ID: I20200306001797 |
| Provider Name | Hannah E Bunting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437734217 PECOS PAC ID: 5799159331 Enrollment ID: I20230321002322 |
| Provider Name | Chad B Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407254840 PECOS PAC ID: 8628420155 Enrollment ID: I20240119001478 |
| Provider Name | Michelle Schrubbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073879201 PECOS PAC ID: 7911359450 Enrollment ID: I20240119002107 |
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