Karen Cunningham, MD - Medicare Counselor in Jacksonville, FL

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Karen Cunningham, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Jacksonville, Florida. She went to Medical University Of South Carolina College Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Emerald Coast Behavioral Hospital Llc and her current practice location is 6300 Beach Blvd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 724-9202.

Karen Cunningham is licensed to practice in Florida (license number ME119963) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972659142.

Contact Information

Karen Cunningham, MD
6300 Beach Blvd,
Jacksonville, FL 32216-2708
(904) 724-9202
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKaren Cunningham
GenderFemale
SpecialityPsychiatry
Experience35 Years
Location6300 Beach Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen Cunningham attended and graduated from Medical University Of South Carolina College Of Medicine in 1991
  NPI Data:
  • NPI Number: 1972659142
  • Provider Enumeration Date: 01/28/2007
  • Last Update Date: 11/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527379510
  • Enrollment ID: I20150617001400

Medical Identifiers

Medical identifiers for Karen Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972659142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health G0747483 (California)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME119963 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emerald Coast Behavioral Hospital Llc327468736321

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. Karen Cunningham allows following entities to bill medicare on her behalf.
Entity NameFlorida Department Of Children And Families
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945118
PECOS PAC ID: 5092613570
Enrollment ID: O20031222000351
Entity NameEmerald Coast Behavioral Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578795332
PECOS PAC ID: 3274687363
Enrollment ID: O20100105000568
Entity NameTbj Behavioral Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568633683
PECOS PAC ID: 4981789823
Enrollment ID: O20141120001176

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. Karen 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 AddressPractice Location Address
Karen Cunningham, MD
6300 Beach Blvd,
Jacksonville, FL 32216-2708

Ph: (904) 724-9202		Karen Cunningham, MD
6300 Beach Blvd,
Jacksonville, FL 32216-2708

Ph: (904) 724-9202

Reviews and Comments


Psychiatry & Neurology in Jacksonville, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.