Tosha S Mccannon, NP in Gainesville, GA - Medicare Nurse Practitioner

Tosha S Mccannon, NP is a medicare enrolled "Nurse Practitioner" in Gainesville, Georgia. Her current practice location is 100 College Ave Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 971-5005.

Tosha S Mccannon is licensed to practice in Georgia (license number RN231072) 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 1538670617.

Contact Information

	Tosha S Mccannon, NP
	100 College Ave Se, Gainesville, GA 30501-4510
	(678) 971-5005
	(678) 971-5009

Map and Direction

Provider's Profile

Full Name	Tosha S Mccannon
Gender	Female
Speciality	Nurse Practitioner
Location	100 College Ave Se, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538670617
Provider Enumeration Date: 10/17/2017
Last Update Date: 10/17/2017

Medicare PECOS Information:

PECOS PAC ID: 9436407525
Enrollment ID: I20180806003420

Medical Identifiers

Medical identifiers for Tosha S Mccannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538670617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN231072 (Georgia)	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. Tosha S Mccannon allows following entities to bill medicare on her behalf.

Entity Name	Advanced Allergy Of North Ga
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013463058 PECOS PAC ID: 6406137694 Enrollment ID: O20161230000683

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. Tosha S Mccannon 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
Tosha S Mccannon, NP 100 College Ave Se, Gainesville, GA 30501-4510 Ph: (678) 971-5005	Tosha S Mccannon, NP 100 College Ave Se, Gainesville, GA 30501-4510 Ph: (678) 971-5005

Reviews and Comments

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Tosha S Mccannon, NP - Medicare Nurse Practitioner in Gainesville, GA