Mr Kenneth Michael Cunningham, CRNA in Elyria, OH - Medicare Nurse Anesthetist, Certified Registered

Mr Kenneth Michael Cunningham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elyria, Ohio. His current practice location is 5319 Hoag Drive, Elyria, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 930-6050.

Mr Kenneth Michael Cunningham is licensed to practice in Ohio (license number RN-150955) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376545202.

Contact Information

	Mr Kenneth Michael Cunningham, CRNA
	5319 Hoag Drive, Elyria, OH 44035-1494
	(440) 930-6050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Michael Cunningham
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	5319 Hoag Drive, Elyria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376545202
Provider Enumeration Date: 08/11/2005
Last Update Date: 09/28/2010

Medicare PECOS Information:

PECOS PAC ID: 6103809835
Enrollment ID: I20040611001150

Medical Identifiers

Medical identifiers for Mr Kenneth Michael Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376545202	NPI	-	NPPES
0816086	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	150955 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN-150955 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kenneth Michael Cunningham allows following entities to bill medicare on his behalf.

Entity Name	Elyria Anesthesia Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Michael Cunningham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenneth Michael Cunningham, CRNA 13523 Barrett Parkway Drive, Suite 104, Ballwin, MO 63021-3802 Ph: (636) 938-6868	Mr Kenneth Michael Cunningham, CRNA 5319 Hoag Drive, Elyria, OH 44035-1494 Ph: (440) 930-6050

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elyria, OH

Jessica Anne Yager, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900
Mr. Scott Michael Dickerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7536
Danette Joan Gissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St, Suite1, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900
Susan F Dimassa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Drive, Elyria, OH 44035 Phone: 440-930-6050 Fax: 440-934-8882
Mrs. Debera W Moennich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Suite I, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900
Kathryn Anzalone, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 860 E Broad St Ste I, Elyria, OH 44035 Phone: 440-323-8515
Mrs. Erica Michelle Groom, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500

Mr Kenneth Michael Cunningham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Elyria, OH