Charles D Cannon Jr, MD in Laurel, MS - Medicare Internal Medicine

Charles D Cannon Jr, MD is a medicare enrolled "Internal Medicine" physician in Laurel, Mississippi. His current practice location is 1203 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 649-2863.

Charles D Cannon Jr is licensed to practice in Mississippi (license number 09089) 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 1841214145.

Contact Information

	Charles D Cannon Jr, MD
	1203 Jefferson St, Laurel, MS 39440-4354
	(601) 649-2863
	(601) 649-9479

Map and Direction

Physician's Profile

Full Name	Charles D Cannon Jr
Gender	Male
Speciality	Internal Medicine
Location	1203 Jefferson St, Laurel, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841214145
Provider Enumeration Date: 07/27/2006
Last Update Date: 07/11/2013

Medicare PECOS Information:

PECOS PAC ID: 9537195961
Enrollment ID: I20091217000571

Medical Identifiers

Medical identifiers for Charles D Cannon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841214145	NPI	-	NPPES
00014391	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	09089 (Mississippi)	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. Charles D Cannon Jr allows following entities to bill medicare on his behalf.

Entity Name	South Central Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700934676 PECOS PAC ID: 8325946411 Enrollment ID: O20031229000259

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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. Charles D Cannon Jr 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
Charles D Cannon Jr, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863	Charles D Cannon Jr, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863

Reviews and Comments

Internal Medicine Doctors in Laurel, MS

Bassam K Mechleb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525
John M. Wallace, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Dr. Hamit Kumar, M.B.B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863
Carolyn Cegielski, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Willus Mark Horne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
Joel Thomas Shores, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479
David L Harrison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479

Charles D Cannon Jr, MD - Medicare Internal Medicine in Laurel, MS