Holly Cannon, DO in Fort Worth, TX

Holly Cannon, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Worth, Texas. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice St Bernards Hospital Inc. and her current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 735-2400.

Holly Cannon is licensed to practice in Texas (license number P3401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043547623.

Contact Information

	Holly Cannon, DO
	855 Montgomery St, Fort Worth, TX 76107-2553
	(817) 735-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Holly Cannon
Gender	Female
Speciality	Psychiatry
Experience	15 Years
Location	855 Montgomery St, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Cannon graduated from medical school in 2009

NPI Data:

NPI Number: 1043547623
Provider Enumeration Date: 11/03/2009
Last Update Date: 05/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5193969228
Enrollment ID: I20181009000496

Medical Identifiers

Medical identifiers for Holly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043547623	NPI	-	NPPES
323821403	Medicaid	TX
8EC651	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	P3401 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Bernards Medical Center	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Bernards Hospital Inc.	0941105480	150

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. Holly Cannon allows following entities to bill medicare on her behalf.

Entity Name	St Bernards Hospital Inc.
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1518327287 PECOS PAC ID: 0941105480 Enrollment ID: O20070718000531

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. Holly 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
Holly Cannon, DO Po Box 99335, Fort Worth, TX 76199-0335 Ph: () -	Holly Cannon, DO 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2400

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Worth, TX

Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991
Prema Manjunath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602

Holly Cannon, DO - Medicare Psychiatry in Fort Worth, TX