Peter E Cunanan, in Detroit, MI - Medicare Nurse Practitioner

Peter E Cunanan, is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (800) 653-6568.

Peter E Cunanan is licensed to practice in Michigan (license number 4704322319) 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 1669198131.

Contact Information

	Peter E Cunanan,
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(800) 653-6568
	(313) 876-1305

Map and Direction

Provider's Profile

Full Name	Peter E Cunanan
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669198131
Provider Enumeration Date: 10/17/2022
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0143692087
Enrollment ID: I20230202001629

Medical Identifiers

Medical identifiers for Peter E Cunanan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669198131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704322319 (Michigan)	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. Peter E Cunanan allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Peter E Cunanan 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
Peter E Cunanan, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 876-4806	Peter E Cunanan, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568

Reviews and Comments

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Peter E Cunanan, - Medicare Nurse Practitioner in Detroit, MI