Dr Melanie Mary Canon, MD is a
Family Medicine physician based in Londonderry, Vermont. Dr Melanie Mary Canon is licensed to practice in New York (license number 212585) and her current practice location is 38 Route 11, Londonderry, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 824-6901.
NPI number for Dr Melanie Mary Canon is 1326187204 and her current mailing address is 38 Route 11, Londonderry, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326187204.
Physician's Profile
Full Name | Dr Melanie Mary Canon |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 38 Route 11, Londonderry, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326187204
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 05/21/2014
Medical Identifiers
Medical identifiers for Dr Melanie Mary Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326187204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 212585 (New York) | Primary |
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 Melanie Mary Canon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Melanie Mary Canon, MD 38 Route 11, Londonderry, VT 05148-9555 Ph: (802) 824-6901 | Dr Melanie Mary Canon, MD 38 Route 11, Londonderry, VT 05148-9555 Ph: (802) 824-6901 |
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