Corynn E Cannon, PA-C in Indianapolis, IN - Medicare Physician Assistant

Corynn E Cannon, PA-C is a medicare enrolled "Physician Assistant" in Indianapolis, Indiana. Her current practice location is 5255 E Stop 11 Rd Ste 450, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 865-4800.

Corynn E Cannon is licensed to practice in Indiana (license number 10000644A) 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 1972515450.

Contact Information

	Corynn E Cannon, PA-C
	5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237-6342
	(317) 865-4800
	(317) 865-4806

Map and Direction

Provider's Profile

Full Name	Corynn E Cannon
Gender	Female
Speciality	Physician Assistant
Location	5255 E Stop 11 Rd Ste 450, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972515450
Provider Enumeration Date: 08/12/2006
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5597652131
Enrollment ID: I20040301000097

Medical Identifiers

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

Identifier	Type	State	Issuer
1972515450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10000644A (Indiana)	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. Corynn E 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
Corynn E Cannon, PA-C Po Box 781076, Detroit, MI 48278-4959 Ph: (317) 528-4800	Corynn E Cannon, PA-C 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237-6342 Ph: (317) 865-4800

Reviews and Comments

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Corynn E Cannon, PA-C - Medicare Physician Assistant in Indianapolis, IN