Mrs Stephanie Marie Cunningham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mulberry, Florida. Her current practice location is
4871 Hickory Stream Ln, Mulberry, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 660-0545.
Mrs Stephanie Marie Cunningham is licensed to practice in Florida (license number SW 9629) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457494270.
Healthcare Provider's Profile
| Full Name | Mrs Stephanie Marie Cunningham |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4871 Hickory Stream Ln, Mulberry, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457494270
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 08/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 4486934502
- Enrollment ID: I20161207001694
Medical Identifiers
Medical identifiers for Mrs Stephanie Marie Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457494270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | SW 9629 (Florida) | 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. Mrs Stephanie Marie Cunningham allows following entities to bill medicare on her behalf.
| Entity Name | Cotler Healthcare & Development Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
|---|
| Entity Name | Blue Moon Senior Counseling |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205129186 PECOS PAC ID: 6103099759 Enrollment ID: O20111027000391 |
|---|
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. Mrs Stephanie Marie 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 |
Mrs Stephanie Marie Cunningham, LCSW 4871 Hickory Stream Ln, Mulberry, FL 33860-7917 Ph: (863) 660-0545 | Mrs Stephanie Marie Cunningham, LCSW 4871 Hickory Stream Ln, Mulberry, FL 33860-7917 Ph: (863) 660-0545 |
Reviews and Comments