| Cornerstone Family Medicine Pllc | |
|
4902 Oklahoma Ave Woodward OK 73801-3713 | |
| (580) 254-5316 | |
| (580) 254-0130 |
| Full Name | Cornerstone Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4902 Oklahoma Ave, Woodward, Oklahoma |
| Authorized Official Name and Position | Keenan Ferguson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5802545316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Medicine Pllc 3100 Downs Ave Woodward OK 73801-5328 Ph: (580) 254-5316 | Cornerstone Family Medicine Pllc 4902 Oklahoma Ave Woodward OK 73801-3713 Ph: (580) 254-5316 |
| NPI Number | 1376257832 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 6406221159 |
|---|---|
| Medicare Enrollment ID | O20230411000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376257832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Keenan L Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154309466 PECOS PAC ID: 0446227151 Enrollment ID: I20061003000374 |
Integris Health Woodward Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 Main St Ste 102, Woodward, OK 73801 Phone: 580-254-8486 | |
James R Garner Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St, Woodward, OK 73801 Phone: 580-256-2820 Fax: 580-256-2454 | |
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Ofelia Marin, Aprn, Fnp-bc, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1418 Main St, Woodward, OK 73801 Phone: 580-216-0246 Fax: 405-913-1048 | |
John D. Sutton, Md. Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Kansas Ave, Woodward, OK 73801 Phone: 580-216-6601 | |
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