Mr Christopher R Cannon, OD is a medicare enrolled "Optometrist" provider in Centralla, Washington. He went to Southern California College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Kaiser Foundation Health Plan Of Washington and his current practice location is
1125 Mellen St., Innovation In Eyecare Inc., Centralla, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 736-7385.
Mr Christopher R Cannon is licensed to practice in Washington (license number OD60084984) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811195977.
Healthcare Provider's Profile
| Full Name | Mr Christopher R Cannon |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 17 Years |
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| Location | 1125 Mellen St., Centralla, Washington |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Christopher R Cannon attended and graduated from Southern California College Of Optometry in 2007
NPI Data:
- NPI Number: 1811195977
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294823332
- Enrollment ID: I20090930000770
Medical Identifiers
Medical identifiers for Mr Christopher R Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811195977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD60084984 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
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. Mr Christopher R Cannon allows following entities to bill medicare on his behalf.
| Provider Name | Kaiser Foundation Health Plan Of Washington |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
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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. Mr Christopher R 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 |
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Mr Christopher R Cannon, OD
700 Lilly Rd Ne,
Olympia, WA 98506-5115
Ph: (360) 923-7000 | Mr Christopher R Cannon, OD
1125 Mellen St., Innovation In Eyecare Inc.,
Centralla, WA 98531
Ph: (360) 736-7385 |
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