Mary Canonico, PMHNP-BC - Medicare Nurse Practitioner in Berea, OH

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Mary Canonico, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berea, Ohio. Her current practice location is 202 E Bagley Rd, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 296-6845.

Mary Canonico is licensed to practice in Ohio (license number 023823) 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 1811465594.

Contact Information

Mary Canonico, PMHNP-BC
202 E Bagley Rd,
Berea, OH 44017-2058
(216) 296-6845
Not Available

Map and Direction




Provider's Profile

Full NameMary Canonico
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location202 E Bagley Rd, Berea, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811465594
  • Provider Enumeration Date: 11/11/2018
  • Last Update Date: 01/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517292980
  • Enrollment ID: I20190709000433

Medical Identifiers

Medical identifiers for Mary Canonico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811465594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 023823 (Ohio)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. Mary Canonico allows following entities to bill medicare on her behalf.
Entity NameTiffany Manrodt
Entity TypePractitioner - Clinical Social Worker
Entity IdentifiersNPI Number: 1326557836
PECOS PAC ID: 5496137531
Enrollment ID: I20230328001620
Entity NameAkron General Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035940
PECOS PAC ID: 8426961061
Enrollment ID: O20040206000686
Entity NamePsychological & Behavioral Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20040405000363
Entity NameOhioguidestone
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507

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. Mary Canonico 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
Mary Canonico, PMHNP-BC
202 E Bagley Rd,
Berea, OH 44017-2058

Ph: (440) 234-2006		Mary Canonico, PMHNP-BC
202 E Bagley Rd,
Berea, OH 44017-2058

Ph: (216) 296-6845

Reviews and Comments


Nurse Practitioner Nurses in Berea, OH

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Tyecia Stevens, CNP
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Practice Location: 205 W Bagley Rd, Berea, OH 44017
Phone: 440-298-8007    

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).

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