Dr Ellen Cunningham, MD - Medicare Dermatology in Mishawaka, IN

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Dr Ellen Cunningham, MD is a medicare enrolled "Dermatology" physician in Mishawaka, Indiana. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice The South Bend Clinic Llc and her current practice location is 1802 Day Rd, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 204-7200.

Dr Ellen Cunningham is licensed to practice in Indiana (license number 01089272A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205902186.

Contact Information

Dr Ellen Cunningham, MD
1802 Day Rd,
Mishawaka, IN 46545-4329
(574) 204-7200
(574) 252-0633

Map and Direction




Physician's Profile

Full NameDr Ellen Cunningham
GenderFemale
SpecialityDermatology
Experience30 Years
Location1802 Day Rd, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellen Cunningham graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1205902186
  • Provider Enumeration Date: 11/24/2006
  • Last Update Date: 01/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678627346
  • Enrollment ID: I20230227002119

Medical Identifiers

Medical identifiers for Dr Ellen Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205902186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 01089272A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The South Bend Clinic Llc3779577937173

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 Ellen Cunningham allows following entities to bill medicare on her behalf.
Entity NameThe South Bend Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439

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 Ellen 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
Dr Ellen Cunningham, MD
1425 Pompton Ave,
Cedar Grove, NJ 07009-1043

Ph: (973) 785-8686		Dr Ellen Cunningham, MD
1802 Day Rd,
Mishawaka, IN 46545-4329

Ph: (574) 204-7200

Reviews and Comments


Dermatology Doctors in Mishawaka, IN

Dr. Todd W Rozycki, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1802 Day Rd, Mishawaka, IN 46545
Phone: 574-204-7200    Fax: 574-252-0633
Miles Burton Andrew, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 230 E Day Rd, Suite 130, Mishawaka, IN 46545
Phone: 574-335-7650    Fax: 574-335-0736

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.