Carissa Lynne Cunningham, SLP in Portland, OR - Medicare Speech-Language Pathologist Provider

Carissa Lynne Cunningham, SLP is a medicare enrolled "Speech-language Pathologist" provider in Portland, Oregon. Her current practice location is 4805 Ne Glisan St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-5293.

Carissa Lynne Cunningham is licensed to practice in Oregon (license number 016361) 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 1588130819.

Contact Information

	Carissa Lynne Cunningham, SLP
	4805 Ne Glisan St, Portland, OR 97213-2933
	(503) 215-5293
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carissa Lynne Cunningham
Gender	Female
Speciality	Speech-language Pathologist
Location	4805 Ne Glisan St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588130819
Provider Enumeration Date: 10/14/2018
Last Update Date: 10/14/2018

Medicare PECOS Information:

PECOS PAC ID: 3072963602
Enrollment ID: I20231222001790

Medical Identifiers

Medical identifiers for Carissa Lynne Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588130819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	016361 (Oregon)	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. Carissa Lynne Cunningham allows following entities to bill medicare on her behalf.

Provider Name	Corinne Jarvis
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1306099460 PECOS PAC ID: 0446627699 Enrollment ID: I20231204002575

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. Carissa Lynne 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
Carissa Lynne Cunningham, SLP 4805 Ne Glisan St, Portland, OR 97213-2933 Ph: (503) 215-5293	Carissa Lynne Cunningham, SLP 4805 Ne Glisan St, Portland, OR 97213-2933 Ph: (503) 215-5293

Reviews and Comments

Speech-Language Pathologist in Portland, OR

Mira E Shah, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Se 61st Avenue, Portland, OR 97206 Phone: 503-348-0931
Ann Sexton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6801 Se 60th Ave, Portland, OR 97206 Phone: 503-916-2000
Jerae Bjelland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-2000
Hearing & Speech Institute Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-228-6479 Fax: 503-228-4248
Dr. Philip J Levinson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205 Phone: 503-226-1048 Fax: 503-226-1049
Katherine Rhodes, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Ne 148th Ave, Portland, OR 97230 Phone: 503-262-9359
Ms. Brenda Joy Nuckton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219 Phone: 503-236-4940

Carissa Lynne Cunningham, SLP - Medicare Speech-Language Pathologist in Portland, OR