Veronica Lea Cannon, APRN in Malvern, AR - Medicare Nurse Practitioner

Veronica Lea Cannon, APRN is a medicare enrolled "Nurse Practitioner - Family" in Malvern, Arkansas. Her current practice location is 1604 Mlk Blvd, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 732-5400.

Veronica Lea Cannon is licensed to practice in Arkansas (license number A004099) 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 1689080384.

Contact Information

	Veronica Lea Cannon, APRN
	1604 Mlk Blvd, Malvern, AR 72104
	(501) 732-5400
	(501) 325-9650

Map and Direction

Provider's Profile

Full Name	Veronica Lea Cannon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1604 Mlk Blvd, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689080384
Provider Enumeration Date: 07/02/2014
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6103044003
Enrollment ID: I20140905000429

Medical Identifiers

Medical identifiers for Veronica Lea Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689080384	NPI	-	NPPES
204425758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004099 (Arkansas)	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. Veronica Lea Cannon allows following entities to bill medicare on her behalf.

Entity Name	Healthy Connections, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588646491 PECOS PAC ID: 9931018421 Enrollment ID: O20040106000555

Entity Name	Brick City Health And Wellness Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558143701 PECOS PAC ID: 9638522451 Enrollment ID: O20240129002305

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. Veronica Lea 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
Veronica Lea Cannon, APRN 1604 Mlk Blvd, Malvern, AR 72104 Ph: (501) 732-5400	Veronica Lea Cannon, APRN 1604 Mlk Blvd, Malvern, AR 72104 Ph: (501) 732-5400

Reviews and Comments

Nurse Practitioner Nurses in Malvern, AR

Kendra Roberts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-467-3400
Mona Renea Simms, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-332-5245
Bethany Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Mrs. Rachel Scrimshire, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1604 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-732-5400 Fax: 501-325-9650
Brittany Camille Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 S Main St, Malvern, AR 72104 Phone: 501-332-7525 Fax: 501-467-3071
John Mark Bates, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Schneider Dr Ste 104, Malvern, AR 72104 Phone: 501-337-9994
Briana Lee Newcomb, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Schneider Dr, Malvern, AR 72104 Phone: 888-710-8220 Fax: 866-573-0761

Veronica Lea Cannon, APRN - Medicare Nurse Practitioner in Malvern, AR