Dr Crystal Cunningham, MD is a medicare enrolled "Surgery" physician in Sedona, Arizona. Her current practice location is
6050 State Route 179 Ste 6, Sedona, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 814-5269.
Dr Crystal Cunningham is licensed to practice in Pennsylvania (license number MT189164) 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 1922294628.
Physician's Profile
| Full Name | Dr Crystal Cunningham |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 6050 State Route 179 Ste 6, Sedona, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922294628
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 09/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002085206
- Enrollment ID: I20110804000124
Medical Identifiers
Medical identifiers for Dr Crystal Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922294628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MT189164 (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 Crystal Cunningham allows following entities to bill medicare on her behalf.
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
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| Entity Name | Rosebud Indian Health Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
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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 Crystal 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 |
Dr Crystal Cunningham, MD 6050 State Route 179 Ste 6, Sedona, AZ 86351-7986 Ph: (928) 814-5269 | Dr Crystal Cunningham, MD 6050 State Route 179 Ste 6, Sedona, AZ 86351-7986 Ph: (928) 814-5269 |
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