Dr Robert David Cannon, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
1708 E Joyce Blvd Ste 2, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 582-2800.
Dr Robert David Cannon is licensed to practice in Arkansas (license number C-8066) 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 1104806702.
Physician's Profile
| Full Name | Dr Robert David Cannon |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 36 Years |
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| Location | 1708 E Joyce Blvd Ste 2, Fayetteville, Arkansas |
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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:
- Dr Robert David Cannon attended and graduated from University Of Arkansas College Of Medicine in 1990
NPI Data:
- NPI Number: 1104806702
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 03/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557387990
- Enrollment ID: I20051014000847
Medical Identifiers
Medical identifiers for Dr Robert David Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104806702 | NPI | - | NPPES |
| 127592001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | C8066 (Arkansas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | C-8066 (Arkansas) | Primary |
Medical Facilities Affiliation
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 Robert David Cannon allows following entities to bill medicare on his behalf.
| Entity Name | Circle Of Life |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386755460
PECOS PAC ID: 9335102896
Enrollment ID: O20101229000024 |
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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. Dr Robert David 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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Dr Robert David Cannon, MD
1708 E Joyce Blvd Ste 2,
Fayetteville, AR 72703-5250
Ph: (479) 582-2800 | Dr Robert David Cannon, MD
1708 E Joyce Blvd Ste 2,
Fayetteville, AR 72703-5250
Ph: (479) 582-2800 |
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