Izegbea M Cannon, - Medicare Nurse Practitioner in Louisville, KY

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Izegbea M Cannon, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Louisville Physicians Inc, Baptist Health Medical Group Inc and her current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-8631.

Izegbea M Cannon is licensed to practice in Kentucky (license number 3009546) 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 1013389022.

Contact Information

Izegbea M Cannon,
2215 Portland Ave,
Louisville, KY 40212-1033
(502) 774-8631
(502) 772-8189

Map and Direction




Provider's Profile

Full NameIzegbea M Cannon
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location2215 Portland Ave, Louisville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Izegbea M Cannon graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1013389022
  • Provider Enumeration Date: 10/29/2015
  • Last Update Date: 10/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9830409291
  • Enrollment ID: I20151116000132

Medical Identifiers

Medical identifiers for Izegbea M Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013389022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3009546 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Louisville Physicians Inc34767255991111
Baptist Health Medical Group Inc55978671841934

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. Izegbea M Cannon allows following entities to bill medicare on her behalf.
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740586213
PECOS PAC ID: 5597867184
Enrollment ID: O20070228000503
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036
Entity NameM&m Medical Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467960492
PECOS PAC ID: 5698039097
Enrollment ID: O20180511001324

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. Izegbea M 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
Izegbea M Cannon,
2215 Portland Ave,
Louisville, KY 40212-1033

Ph: (502) 774-8631		Izegbea M Cannon,
2215 Portland Ave,
Louisville, KY 40212-1033

Ph: (502) 774-8631

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.