| Cheryl A Cunningham, PA-C | |
|
127 N Oak Ave # A, Cookeville, TN 38501-2435 | |
| (931) 783-2361 | |
| (931) 783-5215 |
| Full Name | Cheryl A Cunningham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 127 N Oak Ave # A, Cookeville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003833880 | NPI | - | NPPES |
| 8058765 | Other | TN | BCBST |
| Q034297 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3101 (Tennessee) | Primary |
| Entity Name | Cookeville Regional Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649202102 PECOS PAC ID: 8325092638 Enrollment ID: O20050309000874 |
| Entity Name | Crmc Mso Sub 1 Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972648319 PECOS PAC ID: 1052332830 Enrollment ID: O20051208000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl A Cunningham, PA-C 140 W 7th St, Cookeville, TN 38501-1726 Ph: (931) 783-5582 | Cheryl A Cunningham, PA-C 127 N Oak Ave # A, Cookeville, TN 38501-2435 Ph: (931) 783-2361 |
Pamela Shelton Dobbs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-2143 |
Elizabeth Ashley Brockman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 768 S Willow Ave Ste A, Cookeville, TN 38501 Phone: 931-559-6900 Fax: 931-548-6909 |
Mrs. Lacie Dillon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 W Main St Ste C, Cookeville, TN 38506 Phone: 931-218-6463 |
Mr. Christopher L. Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 222 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-4269 Fax: 931-372-0401 |
Caitlin Locke, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 340 N Cedar Ave, Cookeville, TN 38501 Phone: 931-783-5353 Fax: 931-783-4994 |
James M Vance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 S Lowe Ave, Suite A, Cookeville, TN 38501 Phone: 931-526-1050 Fax: 931-526-8163 |
Molly Kate Campbell, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 406 N Whitney Ave Ste 5, Cookeville, TN 38501 Phone: 931-783-4269 |