Kelly Eilleen Cunningham, MD in Southlake, TX

Kelly Eilleen Cunningham, MD is a medicare enrolled "Family Medicine" physician in Southlake, Texas. She went to University Of New Mexico School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Healthtexas Provider Network and her current practice location is 731 E Southlake Blvd, Suite 100, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 912-8800.

Kelly Eilleen Cunningham is licensed to practice in Texas (license number N7410) 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 1457491227.

Contact Information

	Kelly Eilleen Cunningham, MD
	731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377
	(817) 912-8800
	(817) 912-8810

Map and Direction

Physician's Profile

Full Name	Kelly Eilleen Cunningham
Gender	Female
Speciality	Family Practice
Experience	21 Years
Location	731 E Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Eilleen Cunningham attended and graduated from University Of New Mexico School Of Medicine in 2003

NPI Data:

NPI Number: 1457491227
Provider Enumeration Date: 02/08/2007
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4587767512
Enrollment ID: I20110328000364

Medical Identifiers

Medical identifiers for Kelly Eilleen Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457491227	NPI	-	NPPES
40883272	Medicaid	NM
281181201	Medicaid	TX
8CQ192	Other	TX	BCBSTX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	N7410 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Medical Center Grapevine	Grapevine, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthtexas Provider Network	1355254210	1810

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. Kelly Eilleen Cunningham allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

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. Kelly Eilleen 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
Kelly Eilleen Cunningham, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800	Kelly Eilleen Cunningham, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800

Reviews and Comments

Family Medicine Doctors in Southlake, TX

Dr. Amity L Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Zena Rucker Rd Ste 105, Southlake, TX 76092 Phone: 817-488-2837 Fax: 817-488-6335
Jake Sanchez, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 682-365-2929
Eric Paul Freitas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 817-310-6050
Dr. Ronnie Mitchell, D. O. Family Medicine Medicare: Medicare Enrolled Practice Location: 751 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 972-355-3771 Fax: 972-739-2418
Susan Garza Anderson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1311 Westmont Ct, Southlake, TX 76092 Phone: 214-458-1483
Vijayabhasker K Reddy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Aspen Ridge Dr, Southlake, TX 76092 Phone: 817-917-6647 Fax: 870-338-8239
Mrs. Kayla Anne Miles, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 N Carroll Ave, Southlake, TX 76092 Phone: 817-481-2444 Fax: 817-421-0277

Kelly Eilleen Cunningham, MD - Medicare Family Practice in Southlake, TX