Cornerstone Family Medical Center Llc - Medicare Primary Care in Columbus, MS

Cornerstone Family Medical Center Llc is a medicare enrolled primary clinic (Family Medicine) in Columbus, Mississippi. The current practice location for Cornerstone Family Medical Center Llc is 111 Alabama St, Columbus, Mississippi. For appointments, you can reach them via phone at (662) 570-4636. The mailing address for Cornerstone Family Medical Center Llc is 111 Alabama St, Columbus, Mississippi and phone number is (662) 570-4636.

Cornerstone Family Medical Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255097333. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 570-4636.

Contact Information

Cornerstone Family Medical Center Llc
111 Alabama St
Columbus
MS 39702-5220
(662) 570-4636
Not Available

Primary Care Clinic Profile

Full NameCornerstone Family Medical Center Llc
SpecialityFamily Medicine
Location111 Alabama St, Columbus, Mississippi
Authorized Official Name and PositionCindy Vaughan (OWNER)
Authorized Official Contact6625704636
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cornerstone Family Medical Center Llc
111 Alabama St
Columbus
MS 39702-5220

Ph: (662) 570-4636
Cornerstone Family Medical Center Llc
111 Alabama St
Columbus
MS 39702-5220

Ph: (662) 570-4636

NPI Details:

NPI Number1255097333
Provider Enumeration Date11/12/2021
Last Update Date11/12/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4385035278
Medicare Enrollment IDO20220104001228

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Medical Identifiers

Medical identifiers for Cornerstone Family Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255097333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cornerstone Family Medical Center Llc acts as a billing entity for following providers:
Provider NameCharlene Luecinda Vaughan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790035731
PECOS PAC ID: 6204081045
Enrollment ID: I20130301000053

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