Kyle Patrick Cunningham, DPT in Southport, NC - Medicare Physical Therapist Provider

Kyle Patrick Cunningham, DPT is a medicare enrolled "Physical Therapist" provider in Southport, North Carolina. His current practice location is 1517 N Howe St Ste 4, Southport, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 332-3800.

Kyle Patrick Cunningham is licensed to practice in North Carolina (license number P21865) 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 1710392972.

Contact Information

	Kyle Patrick Cunningham, DPT
	1517 N Howe St Ste 4, Southport, NC 28461-2773
	(910) 332-3800
	(910) 251-0421

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Patrick Cunningham
Gender	Male
Speciality	Physical Therapist
Location	1517 N Howe St Ste 4, Southport, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710392972
Provider Enumeration Date: 06/26/2014
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9133492275
Enrollment ID: I20240112000145

Medical Identifiers

Medical identifiers for Kyle Patrick Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710392972	NPI	-	NPPES
P21865	Other	NC	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01550600 (New Jersey)	Secondary
225100000X	Physical Therapist	P21865 (North Carolina)	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. Kyle Patrick Cunningham allows following entities to bill medicare on his behalf.

Provider Name	Emergeortho Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000

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. Kyle Patrick 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
Kyle Patrick Cunningham, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (919) 220-5255	Kyle Patrick Cunningham, DPT 1517 N Howe St Ste 4, Southport, NC 28461-2773 Ph: (910) 332-3800

Reviews and Comments

Physical Therapist in Southport, NC

Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236
Logan Raichle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824
Angela Marie Doyle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St, Southport, NC 28461 Phone: 910-519-8380
Pamela R Dehne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6357 Fax: 910-477-6357
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357
Mr. Nikolos William Boehmer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4330 Southport Supply Road, Suite 201, Southport, NC 28461 Phone: 910-457-0113 Fax: 910-457-0114

Kyle Patrick Cunningham, DPT - Medicare Physical Therapist in Southport, NC