| 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 |
| Certification 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 | () | Primary |
| Provider Name | Kristin S Halsell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629024856 PECOS PAC ID: 5092766477 Enrollment ID: I20050202000792 |
| Provider Name | Kimberly D Huhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649472523 PECOS PAC ID: 1052477601 Enrollment ID: I20090305000337 |
| Provider Name | Ivan D Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760757561 PECOS PAC ID: 4880916089 Enrollment ID: I20141125000419 |
| Provider Name | Hannah C Finnerty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730740507 PECOS PAC ID: 5890020622 Enrollment ID: I20190716001021 |
| Provider Name | Lauren Ulrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790327187 PECOS PAC ID: 9032656673 Enrollment ID: I20240801000233 |
| Provider Name | Chelsea Hope Schrauben |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265120034 PECOS PAC ID: 0547701732 Enrollment ID: I20240916000257 |
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