Cora Whitney Hannon, MD is a medicare enrolled "Dermatology" physician in Alachua, Florida. Her current practice location is
16181 Nw Us Highway 441 Unit 170, Alachua, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 588-3138.
Cora Whitney Hannon is licensed to practice in California (license number A83814) 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 1164404018.
Physician's Profile
Full Name | Cora Whitney Hannon |
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Gender | Female |
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Speciality | Dermatology |
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Location | 16181 Nw Us Highway 441 Unit 170, Alachua, Florida |
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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: 1164404018
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 03/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678470317
- Enrollment ID: I20220520000316
Medical Identifiers
Medical identifiers for Cora Whitney Hannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164404018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A83814 (California) | 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. Cora Whitney Hannon allows following entities to bill medicare on her behalf.
Entity Name | Alachua County Dermatology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194475046 PECOS PAC ID: 0941687529 Enrollment ID: O20220520000301 |
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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. Cora Whitney Hannon 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 |
Cora Whitney Hannon, MD 16181 Nw Us Highway 441 Unit 170, Alachua, FL 32615-6579 Ph: () - | Cora Whitney Hannon, MD 16181 Nw Us Highway 441 Unit 170, Alachua, FL 32615-6579 Ph: (386) 588-3138 |
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