Dominic Michael Cannella, MD is a medicare enrolled "Neurological Surgery" physician in Farmington, New Mexico. He went to University Of Florida College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice San Juan Regional Medical Center, Inc., San Juan Regional Medical Center, Inc. and his current practice location is
407 S Schwartz Ave Ste 101, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 609-6595.
Dominic Michael Cannella is licensed to practice in Minnesota (license number 49494) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336191477.
Physician's Profile
Full Name | Dominic Michael Cannella |
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Gender | Male |
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Speciality | Neurosurgery |
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Experience | 42 Years |
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Location | 407 S Schwartz Ave Ste 101, Farmington, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dominic Michael Cannella attended and graduated from University Of Florida College Of Medicine in 1982
NPI Data:
- NPI Number: 1336191477
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 02/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395841589
- Enrollment ID: I20171114002442
Medical Identifiers
Medical identifiers for Dominic Michael Cannella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336191477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 49494 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
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. Dominic Michael Cannella allows following entities to bill medicare on his behalf.
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
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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. Dominic Michael Cannella 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 |
Dominic Michael Cannella, MD Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Dominic Michael Cannella, MD 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 Ph: (505) 609-6595 |
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