Peter James Cunningham, PA-C is a medicare enrolled "Physician Assistant" in Lapwai, Idaho. His current practice location is
111 Beaver Grade Rd, Lapwai, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 843-2271.
Peter James Cunningham is licensed to practice in Idaho (license number PA-2464) 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 1922185214.
Provider's Profile
Full Name | Peter James Cunningham |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 111 Beaver Grade Rd, Lapwai, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922185214
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901270354
- Enrollment ID: I20230326000155
Medical Identifiers
Medical identifiers for Peter James Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922185214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA-2464 (Idaho) | Primary |
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 James 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 |
Peter James Cunningham, PA-C 5719 N Cedar St, Spokane, WA 99205-6765 Ph: (509) 869-5538 | Peter James Cunningham, PA-C 111 Beaver Grade Rd, Lapwai, ID 83540 Ph: (208) 843-2271 |
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