Dr Bruce W Cannon, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Beckley, West Virginia. His current practice location is
1710 Harper Rd, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(800) 277-8151.
Dr Bruce W Cannon is licensed to practice in West Virginia (license number 1540) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861487217.
Physician's Profile
| Full Name | Dr Bruce W Cannon |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 1710 Harper Rd, Beckley, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861487217
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163423823
- Enrollment ID: I20070123000365
Medical Identifiers
Medical identifiers for Dr Bruce W Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861487217 | NPI | - | NPPES |
| 0061930000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 1540 (West Virginia) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 1540 (West Virginia) | 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. Dr Bruce W Cannon allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140718000290 |
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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. Dr Bruce W 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 |
|---|
Dr Bruce W Cannon, DO
L 2772,
Columbus, OH 43260-0001
Ph: (800) 277-8151 | Dr Bruce W Cannon, DO
1710 Harper Rd,
Beckley, WV 25801-3357
Ph: (800) 277-8151 |
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