Charlynn Marie Cundy, RN, NP in Rancho Cordova, CA

Charlynn Marie Cundy, RN, NP is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cordova, California. Her current practice location is 10725 International Dr, Kaiser Permanente Women's Health, Rancho Cordova, California. You can reach out to her office (for appointments etc.) via phone at (916) 631-3080.

Charlynn Marie Cundy is licensed to practice in California (license number RN500836, NP13238) 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 1760550719.

Contact Information

	Charlynn Marie Cundy, RN, NP
	10725 International Dr, Kaiser Permanente Women's Health, Rancho Cordova, CA 95670-7967
	(916) 631-3080
	(916) 631-2209

Map and Direction

Provider's Profile

Full Name	Charlynn Marie Cundy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10725 International Dr, Rancho Cordova, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760550719
Provider Enumeration Date: 11/30/2006
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4789609009
Enrollment ID: I20051005001323

Medical Identifiers

Medical identifiers for Charlynn Marie Cundy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760550719	NPI	-	NPPES
RN500836	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN500836, NP13238 (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. Charlynn Marie Cundy allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Charlynn Marie Cundy 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
Charlynn Marie Cundy, RN, NP 10725 International Dr, Kaiser Permanente Women's Health, Rancho Cordova, CA 95670-7967 Ph: (916) 631-3080	Charlynn Marie Cundy, RN, NP 10725 International Dr, Kaiser Permanente Women's Health, Rancho Cordova, CA 95670-7967 Ph: (916) 631-3080

Reviews and Comments

Nurse Practitioner Nurses in Rancho Cordova, CA

Amanda Vo, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11030 White Rock Rd Ste 100, Rancho Cordova, CA 95670 Phone: 916-388-3532
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Mrs. Diana Lyn Coleman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2868 Prospect Park Dr., Ste. 100, Rancho Cordova, CA 95670 Phone: 916-388-3532 Fax: 916-388-3533
Mrs. Karen Kay Klein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Sunrise Blvd, Rancho Cordova, CA 95742 Phone: 800-972-5547 Fax: 916-887-7930
Ursline Charles, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2868 Prospect Park Dr Ste 100, Rancho Cordova, CA 95670 Phone: 916-388-3532 Fax: 916-388-3533
Mr. Coleman Alan Humbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3201 Data Dr, Rancho Cordova, CA 95670 Phone: 916-851-1440

Charlynn Marie Cundy, RN, NP - Medicare Nurse Practitioner in Rancho Cordova, CA