Dr Larry L Cunningham Jr, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Pitsburgh, Pennsylvania. 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 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 1508966961.
Healthcare Provider's Profile
| Full Name | Dr Larry L Cunningham Jr |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 3501 Terrace Street, Pitsburgh, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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: I20100503000259
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 |
|---|
| 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 | University Of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072 |
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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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