James A Cunningham, MD - Medicare Internal Medicine in Wauwatosa, WI

James A Cunningham, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Wauwatosa, Wisconsin. His current practice location is 1033 N Mayfair Rd, Suite 101, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 908-6615.

James A Cunningham is licensed to practice in Wisconsin (license number 23009) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225005689.

Contact Information

James A Cunningham, MD
1033 N Mayfair Rd, Suite 101,
Wauwatosa, WI 53226-3442
(414) 908-6615
(414) 454-0419

Map and Direction




Physician's Profile

Full NameJames A Cunningham
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location1033 N Mayfair Rd, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225005689
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 05/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3870405293
  • Enrollment ID: I20060412000268

Medical Identifiers

Medical identifiers for James A Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225005689NPI-NPPES
30477000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 23009 (Wisconsin)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. James A Cunningham allows following entities to bill medicare on his behalf.
Entity NameGi Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801863501
PECOS PAC ID: 6103738562
Enrollment ID: O20031104000195
Entity NameWisconsin Health Fund
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497768659
PECOS PAC ID: 3072401298
Enrollment ID: O20040309000864

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. James A 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
James A Cunningham, MD
3033 S 27th St, Suite 202,
Milwaukee, WI 53215-3600

Ph: (414) 908-6615
James A Cunningham, MD
1033 N Mayfair Rd, Suite 101,
Wauwatosa, WI 53226-3442

Ph: (414) 908-6615

Reviews and Comments


Internal Medicine Doctors in Wauwatosa, WI

Geetha Ganesan, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222
Phone: 414-771-7900    Fax: 414-607-6336
Haroon Zubair, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222
Phone: 414-771-7900    Fax: 414-607-6336
David A. Carron, MD
Gastroenterology
Medicare: May Accept Medicare Assignments
Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226
Phone: 414-454-0600    Fax: 414-454-0971
Dr. Kavita Sharma, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213
Phone: 414-615-5900    Fax: 414-615-5927
Robert Michael Molloy, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226
Phone: 414-454-0600    Fax: 414-454-0971
Ankur N Patel, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222
Phone: 414-771-7900    Fax: 414-607-6336
Dr. James T Kwiatt, M.D.
Gastroenterology
Medicare: May Accept Medicare Assignments
Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226
Phone: 414-454-0500    Fax: 414-454-0971

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.