Amy Langham Canavan, MD in Conway, SC

Amy Langham Canavan, MD is a medicare enrolled "Pediatrics" physician in Conway, South Carolina. Her current practice location is 124 Professional Park Dr, Suite A, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 234-8788.

Amy Langham Canavan is licensed to practice in South Carolina (license number 86335) 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 1376574038.

Contact Information

	Amy Langham Canavan, MD
	124 Professional Park Dr, Suite A, Conway, SC 29526-9260
	(843) 234-8788
	(843) 234-8787

Map and Direction

Physician's Profile

Full Name	Amy Langham Canavan
Gender	Female
Speciality	Pediatrics
Location	124 Professional Park Dr, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376574038
Provider Enumeration Date: 07/05/2006
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 2062490188
Enrollment ID: I20110817000379

Medical Identifiers

Medical identifiers for Amy Langham Canavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376574038	NPI	-	NPPES
863355	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	86335 (South Carolina)	Secondary
208000000X	Pediatrics	86335 (South 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. Amy Langham Canavan allows following entities to bill medicare on her behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

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. Amy Langham Canavan 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
Amy Langham Canavan, MD 300 Singleton Ridge Rd, Attention Patient Accounting, Conway, SC 29526-9142 Ph: (843) 234-6946	Amy Langham Canavan, MD 124 Professional Park Dr, Suite A, Conway, SC 29526-9260 Ph: (843) 234-8788

Reviews and Comments

Pediatrics Doctors in Conway, SC

Danika Lauren Alexander Borden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd Ofc, Conway, SC 29526 Phone: 843-347-7111
Ashwin Attiguppam Mallikarjun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Mrs. Isabella Andrea Vallenilla Gallardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111
Dr. Stephen Alexander Corontzes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-9099 Fax: 843-347-9029
Dr. Lina Abdelmajid Hajar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 243 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-248-4700
Eugenia Gainzeo Cooper-merchant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005
Krystin Monet Jack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-234-5139

Amy Langham Canavan, MD - Medicare Pediatrics in Conway, SC