Dr Larry L Cunningham Jr, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Pitsburgh, Pennsylvania. He went to University Of Texas Hsc At Houston School Of Dentistry and graduated in 1995 and has 31 years of diverse experience with area of expertise as Oral Surgery. His current practice location is
3501 Terrace Street, Suite 3189, Pitsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 648-9100.
Dr Larry L Cunningham Jr is licensed to practice in Pennsylvania (license number DS042379) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508966961.
Healthcare Provider's Profile
| Full Name | Dr Larry L Cunningham Jr |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 31 Years |
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| Location | 3501 Terrace Street, Pitsburgh, Pennsylvania |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larry L Cunningham Jr attended and graduated from University Of Texas Hsc At Houston School Of Dentistry in 1995
NPI Data:
- NPI Number: 1508966961
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 03/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143358770
- Enrollment ID: I20250410001822
Medical Identifiers
Medical identifiers for Dr Larry L Cunningham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508966961 | NPI | - | NPPES |
| 1036810350001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7704 (Kentucky) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 7704 (Kentucky) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DS042379 (Pennsylvania) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS042379 (Pennsylvania) | 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. Dr Larry L Cunningham Jr allows following entities to bill medicare on his behalf.
| Entity Name | Waco Center For Oral & Maxillofacial Surgery Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518664200
PECOS PAC ID: 0749703627
Enrollment ID: O20250401002481 |
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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. Dr Larry L Cunningham Jr 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 |
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Dr Larry L Cunningham Jr, DDS, MD
3501 Terrace Street, Suite 3189,
Pittsburgh, PA 15213-2523
Ph: (412) 648-9100 | Dr Larry L Cunningham Jr, DDS, MD
3501 Terrace Street, Suite 3189,
Pitsburgh, PA 15213-2523
Ph: (412) 648-9100 |
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