Stephanie Diane Cunningham, - Medicare Nurse Anesthetist, Certified Registered in South Charleston, WV

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Stephanie Diane Cunningham, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Charleston, West Virginia. Her current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 766-3600.

Stephanie Diane Cunningham is licensed to practice in West Virginia (license number 90763) 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 1487997193.

Contact Information

Stephanie Diane Cunningham,
4605 Maccorkle Ave Sw,
South Charleston, WV 25309-1311
(304) 766-3600
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Diane Cunningham
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487997193
  • Provider Enumeration Date: 04/01/2013
  • Last Update Date: 03/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113160862
  • Enrollment ID: I20171207003345

Medical Identifiers

Medical identifiers for Stephanie Diane Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487997193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 73248 (West Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 90763 (West Virginia)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. Stephanie Diane Cunningham allows following entities to bill medicare on her behalf.
Entity NameCentral Brevard Anesthesiologists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205875671
PECOS PAC ID: 3577477314
Enrollment ID: O20031118000796
Entity NameMobile Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295776243
PECOS PAC ID: 4183619828
Enrollment ID: O20040420000816
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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. Stephanie Diane 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 AddressPractice Location Address
Stephanie Diane Cunningham,
110 Roane St,
Charleston, WV 25302-2334

Ph: (304) 344-0096		Stephanie Diane Cunningham,
4605 Maccorkle Ave Sw,
South Charleston, WV 25309-1311

Ph: (304) 766-3600

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Charleston, WV

Lindsey Rubenstein,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3600    
Bradley S. Persinger, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309
Phone: 304-542-3927    Fax: 304-768-2468
Tammy L Cunningham, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3600    
Jessica Smith, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303
Phone: 304-746-2088    
Mary E. West, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3600    
Marnie E. Edwards, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3600    
Nicholas E. Clark,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.