William R Cunningham, is a medicare enrolled "Physician Assistant" physician in Orange City, Florida. His current practice location is
1075 Town Center Dr, Orange City, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 917-0333.
William R Cunningham is licensed to practice in Florida (license number PA9119284) 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 1962238394.
Physician's Profile
| Full Name | William R Cunningham |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1075 Town Center Dr, Orange City, Florida |
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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: 1962238394
- Provider Enumeration Date: 09/11/2024
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244763472
- Enrollment ID: I20241028000714
Medical Identifiers
Medical identifiers for William R Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962238394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | PA9119284 (Florida) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | PA9119284 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9119284 (Florida) | Primary |
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. William R 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 |
|---|
William R Cunningham,
1075 Town Center Dr,
Orange City, FL 32763-8360
Ph: (386) 917-0333 | William R Cunningham,
1075 Town Center Dr,
Orange City, FL 32763-8360
Ph: (386) 917-0333 |
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