Donna Cannon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blue Mountain, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mantachie Rural Health Care, Inc and her current practice location is
1755 County Road 81, Blue Mountain, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 538-4111.
Donna Cannon is licensed to practice in Mississippi (license number R874646) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306236617.
Provider's Profile
| Full Name | Donna Cannon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1755 County Road 81, Blue Mountain, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Donna Cannon graduated from nursing school in 2014
NPI Data:
- NPI Number: 1306236617
- Provider Enumeration Date: 01/26/2015
- Last Update Date: 01/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204139678
- Enrollment ID: I20160119000510
Medical Identifiers
Medical identifiers for Donna Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306236617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R874646 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mantachie Rural Health Care, Inc | 2567372121 | 8 |
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. Donna Cannon allows following entities to bill medicare on her behalf.
| Entity Name | Mantachie Rural Health Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033169545
PECOS PAC ID: 2567372121
Enrollment ID: O20040921000610 |
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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. Donna 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 |
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Donna Cannon, FNP-C
1755 County Road 81,
Blue Mountain, MS 38610-9657
Ph: (662) 538-4111 | Donna Cannon, FNP-C
1755 County Road 81,
Blue Mountain, MS 38610-9657
Ph: (662) 538-4111 |
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