Maryanne Hartman Cunningham, RDN in Eagle, ID - Medicare Dietitian, Registered Provider

Maryanne Hartman Cunningham, RDN is a medicare enrolled "Dietitian, Registered" provider in Eagle, Idaho. Her current practice location is 735 W Watersford Dr, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 867-1763.

Maryanne Hartman Cunningham is licensed to practice in Idaho (license number D-802) 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 1578024345.

Contact Information

	Maryanne Hartman Cunningham, RDN
	735 W Watersford Dr, Eagle, ID 83616-7150
	(208) 867-1763
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maryanne Hartman Cunningham
Gender	Female
Speciality	Dietitian, Registered
Location	735 W Watersford Dr, Eagle, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578024345
Provider Enumeration Date: 03/26/2019
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID: 4284061433
Enrollment ID: I20200227001413

Medical Identifiers

Medical identifiers for Maryanne Hartman Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578024345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-802 (Idaho)	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. Maryanne Hartman Cunningham allows following entities to bill medicare on her behalf.

Provider Name	Idaho Nutrition Associates Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568992105 PECOS PAC ID: 8123399367 Enrollment ID: O20170804003437

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. Maryanne Hartman 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
Maryanne Hartman Cunningham, RDN 735 W Watersford Dr, Eagle, ID 83616-7150 Ph: (208) 867-1763	Maryanne Hartman Cunningham, RDN 735 W Watersford Dr, Eagle, ID 83616-7150 Ph: (208) 867-1763

Reviews and Comments

Dietitian, Registered in Eagle, ID

Balanced Bites Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 408 S Eagle Rd Ste 205, Eagle, ID 83616 Phone: 208-954-0862 Fax: 208-668-8871
Mrs. Tracy Bento, RD, CDCES, CSOWM Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862
Kirsten Ceily Thomas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr Ste 110, Eagle, ID 83616 Phone: 208-274-9580
Biyu Yang, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4727 W Maricopa Dr, Eagle, ID 83616 Phone: 949-698-8622
Idaho Nutrition Associates, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616 Phone: 208-250-5657
Deena M Lajoie, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3797 N Croft Way, Eagle, ID 83616 Phone: 208-250-5657

Maryanne Hartman Cunningham, RDN - Medicare Dietitian in Eagle, ID