Carolyn Cunningham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Clemente, California. Her current practice location is
1702 S Ola Vis, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at
(949) 366-5476.
Carolyn Cunningham is licensed to practice in California (license number 181994) 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 1447695275.
Provider's Profile
| Full Name | Carolyn Cunningham |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1702 S Ola Vis, San Clemente, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447695275
- Provider Enumeration Date: 05/07/2013
- Last Update Date: 05/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 7517101785
- Enrollment ID: I20130910000704
Medical Identifiers
Medical identifiers for Carolyn Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447695275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 181994 (California) | 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. Carolyn Cunningham allows following entities to bill medicare on her behalf.
| Entity Name | Ana Chu Md A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952509440
PECOS PAC ID: 2668573668
Enrollment ID: O20090715000699 |
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| Entity Name | Anesthesia Snooz Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013250729
PECOS PAC ID: 1850533183
Enrollment ID: O20130815000352 |
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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. Carolyn 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 |
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Carolyn Cunningham, CRNA
1702 S Ola Vis,
San Clemente, CA 92672-4342
Ph: (949) 366-5476 | Carolyn Cunningham, CRNA
1702 S Ola Vis,
San Clemente, CA 92672-4342
Ph: (949) 366-5476 |
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