OrganizationCornerstone Family Health, PcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978(570) 326-4118PECOS EnrollmentBased on the most recent information from CMS, provider Cornerstone Family Health, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376523449Provider TypeOrganizationFull NameCornerstone Family Health, PcSubpartNoEnumeration Date1/17/2006Last Updated11/18/2009Contact InformationPractice LocationPractice Address1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978Phone(570) 326-4118Fax(570) 326-5533Mailing LocationMailing Address1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978Phone(570) 326-4118Fax(570) 326-5533Authorized OfficialNameRedka, James (President)Phone(570) 326-4118Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID020833DescriptionOtherIssuerAMERIHEALTHPennsylvaniaID020833DescriptionOtherIssuerHIGHMARK BLUE SHIELDPennsylvaniaID85252DescriptionOtherIssuerAETNAPennsylvaniaID0006325900001DescriptionMedicaidIssuerUnlistedPennsylvaniaID1002DescriptionOtherIssuerFIRST PRIORITY HEALTHPennsylvaniaIDC74266DescriptionOtherIssuerPALMETTO/MC RAILROADPennsylvania