Dilyara Cannon, in Fort Mohave, AZ - Medicare Nurse Practitioner

Dilyara Cannon, is a medicare enrolled "Nurse Practitioner - Family" in Fort Mohave, Arizona. Her current practice location is 5653 S Highway 95, Ste A, Fort Mohave, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 768-2558.

Dilyara Cannon is licensed to practice in Arizona (license number AP7479) 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 1114325784.

Contact Information

	Dilyara Cannon,
	5653 S Highway 95, Ste A, Fort Mohave, AZ 86426-6068
	(928) 768-2558
	(928) 768-2874

Map and Direction

Provider's Profile

Full Name	Dilyara Cannon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5653 S Highway 95, Fort Mohave, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114325784
Provider Enumeration Date: 12/15/2014
Last Update Date: 12/15/2014

Medicare PECOS Information:

PECOS PAC ID: 1850611674
Enrollment ID: I20150519001648

Medical Identifiers

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

Identifier	Type	State	Issuer
1114325784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP7479 (Arizona)	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. Dilyara Cannon allows following entities to bill medicare on her behalf.

Entity Name	Nes Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113

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. Dilyara 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
Dilyara Cannon, 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426-6068 Ph: (928) 768-2558	Dilyara Cannon, 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426-6068 Ph: (928) 768-2558

Reviews and Comments

Nurse Practitioner Nurses in Fort Mohave, AZ

Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381

Dilyara Cannon, - Medicare Nurse Practitioner in Fort Mohave, AZ