Erin Cannon, CNM is a medicare enrolled "Advanced Practice Midwife" in Glendale, California. Her current practice location is
1577 E Chevy Chase Dr, Ste. 110, Glendale, California. You can reach out to her office (for appointments etc.) via phone at
(801) 380-2111.
Erin Cannon is licensed to practice in California (license number 235832) 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 1689117251.
Provider's Profile
| Full Name | Erin Cannon |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1577 E Chevy Chase Dr, Glendale, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689117251
- Provider Enumeration Date: 11/30/2016
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052696523
- Enrollment ID: I20170323002280
Medical Identifiers
Medical identifiers for Erin Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689117251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WM0102X | Registered Nurse - Maternal Newborn | 823989 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 235832 (California) | 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. Erin Cannon allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Dhp Of California Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679836084
PECOS PAC ID: 9234388745
Enrollment ID: O20120927000044 |
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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. Erin 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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Erin Cannon, CNM
25039 Wheeler Rd,
Newhall, CA 91321-3421
Ph: (801) 380-2111 | Erin Cannon, CNM
1577 E Chevy Chase Dr, Ste. 110,
Glendale, CA 91206-4172
Ph: (801) 380-2111 |
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