Shay Cannon, PA is a medicare enrolled "Physician Assistant" physician in Tampa, Florida. Her current practice location is
2 Tampa General Cir, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 821-8724.
Shay Cannon is licensed to practice in Florida (license number PA9116245) 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 1124757513.
Physician's Profile
Full Name | Shay Cannon |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2 Tampa General Cir, Tampa, 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: 1124757513
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 11/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759758741
- Enrollment ID: I20221103002322
Medical Identifiers
Medical identifiers for Shay Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124757513 | NPI | - | NPPES |
U49E2 | Other | FL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 9116245 (Florida) | Secondary |
363A00000X | Physician Assistant | PA9116245 (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. Shay 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 |
Shay Cannon, PA Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Shay Cannon, PA 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 821-8724 |
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