Philip John Cannon, MD in Lawrenceville, GA - Medicare Emergency Medicine

Philip John Cannon, MD is a medicare enrolled "Emergency Medicine" physician in Lawrenceville, Georgia. His current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 442-3317.

Philip John Cannon is licensed to practice in Georgia (license number 029853) 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 1194852392.

Contact Information

	Philip John Cannon, MD
	1000 Medical Center Blvd, Lawrenceville, GA 30045-7694
	(678) 442-3317
	(678) 442-4416

Map and Direction

Physician's Profile

Full Name	Philip John Cannon
Gender	Male
Speciality	Emergency Medicine
Location	1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194852392
Provider Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4385727155
Enrollment ID: I20080218000112

Medical Identifiers

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

Identifier	Type	State	Issuer
1194852392	NPI	-	NPPES
00361292E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	029853 (Georgia)	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. Philip John Cannon allows following entities to bill medicare on his behalf.

Entity Name	Northside Emergency Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165

Entity Name	Gwinnett Emergency Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437346467 PECOS PAC ID: 0840373619 Enrollment ID: O20080218000080

Entity Name	Gwinnett Emergency Specialists Observation Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364

Entity Name	Angelfish Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684

Entity Name	Atlantic Cod Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801292693 PECOS PAC ID: 0345567616 Enrollment ID: O20150325001463

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. Philip John 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
Philip John Cannon, MD 1466 Peachtree Battle Ave Nw, Atlanta, GA 30327-1426 Ph: (678) 442-3317	Philip John Cannon, MD 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 Ph: (678) 442-3317

Reviews and Comments

Emergency Medicine Doctors in Lawrenceville, GA

Amanarh Albert Kisseih, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416
Dr. Anna Carolyn Nay, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046 Phone: 678-312-3317
Donald Alfred Ruf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416
Roy Gilbreath, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 Rivershyre Pkwy, Lawrenceville, GA 30043 Phone: 678-591-7640
Tiffany Mckinnie, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4416
Danielle Hines, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3317
Dr. James Lofton Smith Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416

Philip John Cannon, MD - Medicare Emergency Medicine in Lawrenceville, GA