Dr John Concannon, DO in Cranston, RI

Dr John Concannon, DO is a medicare enrolled "Pediatrics" physician in Cranston, Rhode Island. His current practice location is 1145 Reservoir Ave, Suite 124, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 943-7337.

Dr John Concannon is licensed to practice in Rhode Island (license number DO-00357) 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 1962409128.

Contact Information

	Dr John Concannon, DO
	1145 Reservoir Ave, Suite 124, Cranston, RI 02920-6055
	(401) 943-7337
	(401) 942-1509

Map and Direction

Physician's Profile

Full Name	Dr John Concannon
Gender	Male
Speciality	Pediatrics
Location	1145 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962409128
Provider Enumeration Date: 07/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305025792
Enrollment ID: I20110201000719

Medical Identifiers

Medical identifiers for Dr John Concannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962409128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO-00357 (Rhode Island)	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 John Concannon allows following entities to bill medicare on his behalf.

Entity Name	Drs. Concannon & Vitale, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366402018 PECOS PAC ID: 2567641954 Enrollment ID: O20110201000741

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 John Concannon 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 John Concannon, DO 1145 Reservoir Ave, Suite 124, Cranston, RI 02920-6055 Ph: (401) 943-7337	Dr John Concannon, DO 1145 Reservoir Ave, Suite 124, Cranston, RI 02920-6055 Ph: (401) 943-7337

Reviews and Comments

Pediatrics Doctors in Cranston, RI

Dr. James Roy Bonner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920 Phone: 401-943-9222 Fax: 401-943-9290
Dr. Carine M Leconte, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920 Phone: 401-943-9222 Fax: 401-943-9290
Dr. Colleen Concannon Vitale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Cranston, RI 02920 Phone: 401-943-7337
Dr. Cecile Ibrahim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Magazine St, Cranston, RI 02920 Phone: 401-943-2925
Richard K Ohnmacht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Suite 210, Cranston, RI 02920 Phone: 401-946-1944 Fax: 401-946-2340
Dr. Rick Manuel Quiles, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Cranston, RI 02910 Phone: 401-274-6575
Marvin S Wasser, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 496 Pontiac Ave, Cranston, RI 02910 Phone: 401-461-2150

Dr John Concannon, DO - Medicare Pediatrics in Cranston, RI