Dr Annelise Miya Cunningham, PHD in Charlotte, NC - Medicare Psychologist Provider

Dr Annelise Miya Cunningham, PHD is a medicare enrolled "Psychologist - Clinical" provider in Charlotte, North Carolina. Her current practice location is 225 E Worthington Ave, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (773) 531-8738.

Dr Annelise Miya Cunningham is licensed to practice in North Carolina (license number 6750) 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 1992381727.

Contact Information

	Dr Annelise Miya Cunningham, PHD
	225 E Worthington Ave, Charlotte, NC 28203-4867
	(773) 531-8738
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Annelise Miya Cunningham
Gender	Female
Speciality	Psychologist - Clinical
Location	225 E Worthington Ave, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992381727
Provider Enumeration Date: 03/22/2021
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3577960434
Enrollment ID: I20250415000097

Medical Identifiers

Medical identifiers for Dr Annelise Miya Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992381727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY.0005562 (Colorado)	Secondary
103T00000X	Psychologist	071010903 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071010903 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	PSY.0005562 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	6750 (North Carolina)	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. Dr Annelise Miya Cunningham allows following entities to bill medicare on her behalf.

Entity Name	Forsyth Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750081378 PECOS PAC ID: 3678478054 Enrollment ID: O20031201000123

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. Dr Annelise Miya 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
Dr Annelise Miya Cunningham, PHD 8013 Switchback Trl, Charlotte, NC 28213-7165 Ph: () -	Dr Annelise Miya Cunningham, PHD 225 E Worthington Ave, Charlotte, NC 28203-4867 Ph: (773) 531-8738

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

Dr Annelise Miya Cunningham, PHD - Medicare Psychologist in Charlotte, NC