Cornerstone Family Healthcare

A Medicare group practice based in Newburgh, NY: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 4880610393), with 90 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880610393The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
NY, WI
Enrollments
14
Group size
67 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 9 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20100412000079 WI Part A Provider - Federally Qualified Health Center (FQHC) 1689669079
O20110913000066 NY Part A Provider - Federally Qualified Health Center (FQHC) 1114757515
O20111028000043 NY Part A Provider - Federally Qualified Health Center (FQHC) 1912520776
O20051024000183 NY Part B Supplier - Clinic/Group Practice 1689669079
O20200312000270 NY Part B Supplier - Opioid Treatment Program (Otp) 1689669079
O20220217001224 NY Part A Provider - Federally Qualified Health Center (FQHC) 1467123364
O20160405001723 NY Part A Provider - Federally Qualified Health Center (FQHC) 1558984344
O20131114001183 NY Part A Provider - Federally Qualified Health Center (FQHC) 1720601503
O20180227001025 NY Part A Provider - Federally Qualified Health Center (FQHC) 1841813623
O20180227001477 NY Part A Provider - Federally Qualified Health Center (FQHC) 1215550009
O20180627002675 NY Part A Provider - Federally Qualified Health Center (FQHC) 1326662008
O20171102001433 NY Part A Provider - Federally Qualified Health Center (FQHC) 1740803535
O20180313000071 NY Part A Provider - Federally Qualified Health Center (FQHC) 1417571191
O20180316000857 NY Part A Provider - Federally Qualified Health Center (FQHC) 1831712629

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 90

Clinicians who reassign their Medicare benefits to this group (90) or whom Care Compare lists as members (67).

Sources for this page