Da Monica Alethea Cannon, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Columbus, Georgia. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbus Ambulatory Healthcare Services, Inc., Shamil Pc and her current practice location is
2737 Warm Springs Rd Ste C, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 571-1136.
Da Monica Alethea Cannon is licensed to practice in Georgia (license number RN158350) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063028793.
Physician's Profile
| Full Name | Da Monica Alethea Cannon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 2737 Warm Springs Rd Ste C, Columbus, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Da Monica Alethea Cannon graduated from medical school in 2019
NPI Data:
- NPI Number: 1063028793
- Provider Enumeration Date: 09/18/2020
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769892801
- Enrollment ID: I20201102000511
Medical Identifiers
Medical identifiers for Da Monica Alethea Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063028793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | RN158350 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN158350 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 98 |
| Shamil Pc | 8224108378 | 5 |
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. Da Monica Alethea Cannon allows following entities to bill medicare on her behalf.
| Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790733244
PECOS PAC ID: 1355244385
Enrollment ID: O20040128000790 |
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| Entity Name | Shamil Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215100136
PECOS PAC ID: 8224108378
Enrollment ID: O20080602000749 |
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| Entity Name | Sai Nursing Home Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992269591
PECOS PAC ID: 5890036214
Enrollment ID: O20190412001148 |
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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. Da Monica Alethea Cannon 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 |
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Da Monica Alethea Cannon, NP
Po Box 2585,
Columbus, GA 31902-2585
Ph: (706) 507-5441 | Da Monica Alethea Cannon, NP
2737 Warm Springs Rd Ste C,
Columbus, GA 31904-5328
Ph: (706) 571-1136 |
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