Benjamin Seth Cannon, - Medicare Nurse Practitioner in Jacksonville, FL

Benjamin Seth Cannon, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 308-7300.

Benjamin Seth Cannon is licensed to practice in Florida (license number APRN11024408) 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 1891492831.

Contact Information

Benjamin Seth Cannon,
1 Shircliff Way,
Jacksonville, FL 32204-4748
(904) 308-7300
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Seth Cannon
GenderMale
SpecialityNurse Practitioner - Family
Location1 Shircliff Way, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891492831
  • Provider Enumeration Date: 02/09/2023
  • Last Update Date: 02/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507231099
  • Enrollment ID: I20230414001733

Medical Identifiers

Medical identifiers for Benjamin Seth Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891492831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11024408 (Florida)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. Benjamin Seth Cannon allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Specialists Of Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295738367
PECOS PAC ID: 2668361080
Enrollment ID: O20040313000203
Entity NameEmsj Of Northeast Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720753536
PECOS PAC ID: 0446657209
Enrollment ID: O20210921001385
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295442614
PECOS PAC ID: 6608056171
Enrollment ID: O20230131002198

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. Benjamin Seth 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 AddressPractice Location Address
Benjamin Seth Cannon,
543 Kendall Crossing Dr,
St Johns, FL 32259-8766

Ph: (904) 521-9796
Benjamin Seth Cannon,
1 Shircliff Way,
Jacksonville, FL 32204-4748

Ph: (904) 308-7300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.