Terry L Cummings, MD - Medicare Internal Medicine in Metairie, LA

Terry L Cummings, MD is a medicare enrolled "Internal Medicine" physician in Metairie, Louisiana. He went to Tulane University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Administrators Of The Tulane Educational Fund and his current practice location is 47201 I-10 Service Road, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 988-5800.

Terry L Cummings is licensed to practice in Louisiana (license number 020231) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861531287.

Contact Information

Terry L Cummings, MD
47201 I-10 Service Road,
Metairie, LA 70001
(504) 988-5800
Not Available

Map and Direction




Physician's Profile

Full NameTerry L Cummings
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location47201 I-10 Service Road, Metairie, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terry L Cummings attended and graduated from Tulane University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1861531287
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 02/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7810902376
  • Enrollment ID: I20060221000056

Medical Identifiers

Medical identifiers for Terry L Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861531287NPI-NPPES
1944386MedicaidLA
1966380MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 020231 (Louisiana)Primary
208000000XPediatrics 020231 (Louisiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tulane Medical CenterNew orleans, LAHospital
Touro InfirmaryNew orleans, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Administrators Of The Tulane Educational Fund0446163760353

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. Terry L Cummings allows following entities to bill medicare on his behalf.
Entity NameAdministrators Of The Tulane Educational Fund
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528014164
PECOS PAC ID: 0446163760
Enrollment ID: O20031201000636

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. Terry L Cummings 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
Terry L Cummings, MD
1415 Tulane Ave,
New Orleans, LA 70112-2600

Ph: (504) 588-5005
Terry L Cummings, MD
47201 I-10 Service Road,
Metairie, LA 70001

Ph: (504) 988-5800

Reviews and Comments


Internal Medicine Doctors in Metairie, LA

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Dr. Lawrence Levy, MD
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Dr. John F Nitsche, M.D.
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Practice Location: 4228 Houma Blvd, Suite 600b, Metairie, LA 70006
Phone: 504-454-2191    Fax: 504-378-1838

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.