Kenneth J Canzon, PA in Savannah, GA - Medicare Nurse Practitioner

Kenneth J Canzon, PA is a medicare enrolled "Nurse Practitioner" in Savannah, Georgia. His current practice location is 5 Executive Cir, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 355-2400.

Kenneth J Canzon is licensed to practice in Georgia (license number RN140382) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588816888.

Contact Information

	Kenneth J Canzon, PA
	5 Executive Cir, Savannah, GA 31406-3345
	(912) 355-2400
	(912) 355-5324

Map and Direction

Provider's Profile

Full Name	Kenneth J Canzon
Gender	Male
Speciality	Nurse Practitioner
Location	5 Executive Cir, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588816888
Provider Enumeration Date: 10/17/2008
Last Update Date: 10/17/2008

Medicare PECOS Information:

PECOS PAC ID: 5991864456
Enrollment ID: I20081112000774

Medical Identifiers

Medical identifiers for Kenneth J Canzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588816888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN140382 (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. Kenneth J Canzon allows following entities to bill medicare on his behalf.

Entity Name	Georgia Emergency Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427

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. Kenneth J Canzon 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
Kenneth J Canzon, PA 5 Executive Cir, Savannah, GA 31406-3345 Ph: (912) 355-2400	Kenneth J Canzon, PA 5 Executive Cir, Savannah, GA 31406-3345 Ph: (912) 355-2400

Reviews and Comments

Nurse Practitioner Nurses in Savannah, GA

Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676

Kenneth J Canzon, PA - Medicare Nurse Practitioner in Savannah, GA