Mrs Cory Cunningham, PA-C is a medicare enrolled "Physician Assistant" in Oak Forest, Illinois. Her current practice location is
15901 Cicero Ave, Oak Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 633-1968.
Mrs Cory Cunningham is licensed to practice in Illinois (license number 085-001648) 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 1932271913.
Provider's Profile
| Full Name | Mrs Cory Cunningham |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 15901 Cicero Ave, Oak Forest, Illinois |
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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: 1932271913
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082888144
- Enrollment ID: I20111129000767
Medical Identifiers
Medical identifiers for Mrs Cory Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932271913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085-001648 (Illinois) | 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. Mrs Cory Cunningham allows following entities to bill medicare on her behalf.
| Entity Name | Health Service Systems, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851323257
PECOS PAC ID: 2264408699
Enrollment ID: O20040908000350 |
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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. Mrs Cory 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 |
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Mrs Cory Cunningham, PA-C
14707 Le Claire Ave,
Midlothian, IL 60445-3570
Ph: Not Available | Mrs Cory Cunningham, PA-C
15901 Cicero Ave,
Oak Forest, IL 60452-4005
Ph: (708) 633-1968 |
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