Dr Brett H Cannon, MD - Medicare Emergency Medicine in Douglasville, GA

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Dr Brett H Cannon, MD is a medicare enrolled "Emergency Medicine" physician in Douglasville, Georgia. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Bortolazzo Group, Llc and his current practice location is 8954 Hospital Dr, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 920-6420.

Dr Brett H Cannon is licensed to practice in Georgia (license number 046053) 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 1124132386.

Contact Information

Dr Brett H Cannon, MD
8954 Hospital Dr,
Douglasville, GA 30134-2272
(770) 920-6420
Not Available

Map and Direction




Physician's Profile

Full NameDr Brett H Cannon
GenderMale
SpecialityEmergency Medicine
Experience27 Years
Location8954 Hospital Dr, Douglasville, Georgia
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:
  • Dr Brett H Cannon attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1124132386
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 12/04/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870497993
  • Enrollment ID: I20050208000651

Medical Identifiers

Medical identifiers for Dr Brett H Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124132386NPI-NPPES
00866115IMedicaidGA
00866115KMedicaidGA
00866115JMedicaidGA
051559698MedicaidAL
7559160OtherALAETNA
00866115LMedicaidGA
051542477OtherALBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 046053 (Georgia)Primary
207P00000XEmergency Medicine 0101236067 (Virginia)Secondary
207P00000XEmergency Medicine 200301097 (North Carolina)Secondary
207P00000XEmergency Medicine 15230R (Louisiana)Secondary
207P00000XEmergency Medicine MD.25283 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Douglas HospitalDouglasville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Bortolazzo Group, Llc347655432072

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. Dr Brett H Cannon allows following entities to bill medicare on his behalf.
Entity NameSouth Fulton Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821043787
PECOS PAC ID: 5294708715
Enrollment ID: O20040813000595
Entity NameCartersville Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346295995
PECOS PAC ID: 5193776458
Enrollment ID: O20050203000370
Entity NameLagrange Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437560
PECOS PAC ID: 0840207072
Enrollment ID: O20060314000271
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameNorth Fulton Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053456954
PECOS PAC ID: 6800981986
Enrollment ID: O20071004000272
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316

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. Dr Brett H 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
Dr Brett H Cannon, MD
5665 New Northside Dr Nw, Suite 320,
Atlanta, GA 30328-5831

Ph: (770) 874-5400		Dr Brett H Cannon, MD
8954 Hospital Dr,
Douglasville, GA 30134-2272

Ph: (770) 920-6420

Reviews and Comments


Emergency Medicine Doctors in Douglasville, GA

Dr. Phindile Erika Milensu Chowa, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 412-956-7474    
Marc Greg Amaya,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 770-920-6420    
Robert Jordan,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 770-920-6420    
Dr. Trevor Craig Smith, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 770-949-1500    
Dr. Mark E. Thomas, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9390 The Landing Dr, Douglasville, GA 30135
Phone: 770-947-1112    
Dr. Mohamad Ali Hamki, M.D
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 9280 Highway 5 Ste E, Douglasville, GA 30134
Phone: 770-635-8163    Fax: 770-635-8254

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.