Dr Rachael Marie Cannon, MD is a
Student In An Organized Health Care Education/training Program physician based in Gainesville, Florida. Dr Rachael Marie Cannon is licensed to practice in Florida (license number 161549) and her current practice location is 3950 Sw 24th Ave Apt 323, Gainesville, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 273-8234.
NPI number for Dr Rachael Marie Cannon is 1003444191 and her current mailing address is 3950 Sw 24th Ave Apt 323, Gainesville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003444191.
Physician's Profile
| Full Name | Dr Rachael Marie Cannon |
|---|
| 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003444191
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 10/23/2024
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
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 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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