Dr Douglas H Cannon, MD in Oneonta, NY

Dr Douglas H Cannon, MD is a medicare enrolled "Pediatrics" physician in Oneonta, New York. His current practice location is 125 Main St, Oneonta, New York. You can reach out to his office (for appointments etc.) via phone at (607) 433-1792.

Dr Douglas H Cannon is licensed to practice in New York (license number 176954) 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 1912965039.

Contact Information

	Dr Douglas H Cannon, MD
	125 Main St, Oneonta, NY 13820-2507
	(607) 433-1792
	(607) 433-6608

Map and Direction

Physician's Profile

Full Name	Dr Douglas H Cannon
Gender	Male
Speciality	Pediatrics
Location	125 Main St, Oneonta, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912965039
Provider Enumeration Date: 05/01/2006
Last Update Date: 07/18/2013

Medicare PECOS Information:

PECOS PAC ID: 2466588736
Enrollment ID: I20100326000277

Medical Identifiers

Medical identifiers for Dr Douglas H Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912965039	NPI	-	NPPES
01162578	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	176954 (New York)	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 Douglas H Cannon allows following entities to bill medicare on his behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

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 Douglas H 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 Douglas H Cannon, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 433-1790	Dr Douglas H Cannon, MD 125 Main St, Oneonta, NY 13820-2507 Ph: (607) 433-1792

Reviews and Comments

Pediatrics Doctors in Oneonta, NY

Abiodun Oyebola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600
Kenneth G Lucas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 179 River St, Oneonta, NY 13820 Phone: 607-433-3484 Fax: 607-432-5790
Elizabeth Blasco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6519
Dr. Bridget Abieyuwa Igbinosun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1790 Fax: 607-433-6608
Dr. Nicholas W Tarricone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 179 River St, Oneonta, NY 13820 Phone: 607-433-3484 Fax: 607-432-5790
Dr. William J Fredette, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600
Dr. Lisa Koehl Mooney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6608

Dr Douglas H Cannon, MD - Medicare Pediatrics in Oneonta, NY