Mrs Kellie Ann Cunningham, CRNA in Canton, OH - Medicare Nurse Anesthetist, Certified Registered

Mrs Kellie Ann Cunningham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Ohio. Her current practice location is 1320 Mercy Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 489-1000.

Mrs Kellie Ann Cunningham is licensed to practice in Ohio (license number COA.13235-NA) 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 1841566809.

Contact Information

	Mrs Kellie Ann Cunningham, CRNA
	1320 Mercy Dr Nw, Canton, OH 44708-2614
	(330) 489-1000
	(330) 498-4229

Map and Direction

Provider's Profile

Full Name	Mrs Kellie Ann Cunningham
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1320 Mercy Dr Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841566809
Provider Enumeration Date: 03/23/2012
Last Update Date: 04/12/2021

Medicare PECOS Information:

PECOS PAC ID: 1153578349
Enrollment ID: I20120822000729

Medical Identifiers

Medical identifiers for Mrs Kellie Ann Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841566809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	COA.13235-NA (Ohio)	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. Mrs Kellie Ann Cunningham allows following entities to bill medicare on her behalf.

Entity Name	Ohio Anesthesia Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069

Entity Name	Safe Anesthesia Geneva Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743

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. Mrs Kellie Ann 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
Mrs Kellie Ann Cunningham, CRNA 4450 Belden Village St Nw Ste 307, Canton, OH 44718-2592 Ph: (330) 499-5700	Mrs Kellie Ann Cunningham, CRNA 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Canton, OH

Sarah Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700
Roxie Lee Rush, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Mr. Kevin White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Amanda G Gillis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, #100, Canton, OH 44718 Phone: 330-499-5700 Fax: 330-498-4229
Arlene Ann Weeber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Sheree Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Lois R Milosevic, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111

Mrs Kellie Ann Cunningham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Canton, OH