Andrew Cannon, PT - Medicare Physical Therapist in Omaha, NE

Andrew Cannon, PT is a medicare enrolled "Physical Therapist" provider in Omaha, Nebraska. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice C O R E Physical Therapy And Sports Performance Pc and his current practice location is 4620 S 50th St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 731-1944.

Andrew Cannon is licensed to practice in Nebraska (license number 3393) 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 1942619176.

Contact Information

Andrew Cannon, PT
4620 S 50th St,
Omaha, NE 68117-1373
(402) 731-1944
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrew Cannon
GenderMale
SpecialityPhysical Therapy
Experience10 Years
Location4620 S 50th St, Omaha, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Cannon graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1942619176
  • Provider Enumeration Date: 08/13/2014
  • Last Update Date: 08/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365662277
  • Enrollment ID: I20140926002018

Medical Identifiers

Medical identifiers for Andrew Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942619176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3393 (Nebraska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
C O R E Physical Therapy And Sports Performance Pc56980783503

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. Andrew Cannon allows following entities to bill medicare on his behalf.
Provider NameC O R E Physical Therapy And Sports Performance Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1659742047
PECOS PAC ID: 5698078350
Enrollment ID: O20160129001746
Provider NameAthletico Ltd
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1912670753
PECOS PAC ID: 4789602681
Enrollment ID: O20210902002037

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. Andrew 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 AddressPractice Location Address
Andrew Cannon, PT
2403 S 133rd Plz,
Omaha, NE 68144-5905

Ph: (402) 330-8433
Andrew Cannon, PT
4620 S 50th St,
Omaha, NE 68117-1373

Ph: (402) 731-1944

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.