Dr Rachael Marie Cannon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. Her current practice location is
3950 Sw 24th Ave Apt 323, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 273-8234.
Dr Rachael Marie Cannon is licensed to practice in Florida (license number 161549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003444191.
Physician's Profile
Full Name | Dr Rachael Marie Cannon |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3950 Sw 24th Ave Apt 323, Gainesville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003444191
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769916139
- Enrollment ID: I20241107000973
Medical Identifiers
Medical identifiers for Dr Rachael Marie Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003444191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 161549 (Florida) | Secondary |
208000000X | Pediatrics | 161549 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 161549 (Florida) | 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 Rachael Marie 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 Rachael Marie Cannon, MD 3950 Sw 24th Ave Apt 323, Gainesville, FL 32607-4470 Ph: (814) 574-2554 | Dr Rachael Marie Cannon, MD 3950 Sw 24th Ave Apt 323, Gainesville, FL 32607-4470 Ph: (352) 273-8234 |
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