Jennifer Kannan, PA-C is a medicare enrolled "Hospitalist" in Fairfax, Virginia. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fair Oaks Hospitalist Physicians, Pllc and her current practice location is
3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 391-3558.
Jennifer Kannan is licensed to practice in Virginia (license number 0110005279) 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 1083659189.
Provider's Profile
| Full Name | Jennifer Kannan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
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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:
- Jennifer Kannan graduated from nursing school in 2005
NPI Data:
- NPI Number: 1083659189
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436178720
- Enrollment ID: I20161210000136
Medical Identifiers
Medical identifiers for Jennifer Kannan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083659189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110005279 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | PA3744 (Massachusetts) | Secondary |
| 208M00000X | Hospitalist | 0110005279 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fair Oaks Hospitalist Physicians, Pllc | 1052419868 | 34 |
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. Jennifer Kannan 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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Jennifer Kannan, PA-C
Po Box 9150,
Paducah, KY 42002-9150
Ph: (270) 744-9600 | Jennifer Kannan, PA-C
3600 Joseph Siewick Dr,
Fairfax, VA 22033-1709
Ph: (703) 391-3558 |
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