Mrs Loren N Cunningham, PAC is a medicare enrolled "Physician Assistant - Medical" in Petersburg, West Virginia. Her current practice location is
111 S Grove St Ste 1, Petersburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 257-2451.
Mrs Loren N Cunningham is licensed to practice in West Virginia (license number 01564) 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 1235408261.
Provider's Profile
Full Name | Mrs Loren N Cunningham |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 111 S Grove St Ste 1, Petersburg, West Virginia |
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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: 1235408261
- Provider Enumeration Date: 12/20/2011
- Last Update Date: 03/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880868645
- Enrollment ID: I20111114000565
Medical Identifiers
Medical identifiers for Mrs Loren N Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235408261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 01564 (West Virginia) | 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. Mrs Loren N 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 |
Mrs Loren N Cunningham, PAC 111 S Grove St Ste 1, Petersburg, WV 26847-1805 Ph: (304) 257-2451 | Mrs Loren N Cunningham, PAC 111 S Grove St Ste 1, Petersburg, WV 26847-1805 Ph: (304) 257-2451 |
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