Tammy L Cunningham, CRNA | |
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
(304) 766-3600 | |
Not Available |
Full Name | Tammy L Cunningham |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 33 Years |
Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104844109 | NPI | - | NPPES |
0068838000 | Medicaid | WV | |
001720704 | Other | WV | MSBCBS |
1071159 | Other | WV | WORKERS COMP INDIVIDUAL |
1071159 | Other | WV | BRICKSTREET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 35349 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital | Charleston, WV | Hospital |
Thomas Memorial Hospital | South charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Anesthesia Service,inc. | 2769387190 | 42 |
Entity Name | Professional Anesthesia Service,inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Tammy L Cunningham, CRNA 110 Roane St, Charleston, WV 25302-2334 Ph: (304) 344-0096 | Tammy L Cunningham, CRNA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 |
Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468 | |
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088 | |
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 |