Dr Shawn Patrick Cannon, DO is a medicare enrolled "Internal Medicine" physician in Amagansett, New York. His current practice location is
518 Montauk Hwy, Suite 102, Amagansett, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 267-5373.
Dr Shawn Patrick Cannon is licensed to practice in New York (license number 194468) 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 1831276286.
Physician's Profile
| Full Name | Dr Shawn Patrick Cannon |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 518 Montauk Hwy, Amagansett, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831276286
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 3971792771
- Enrollment ID: I20110110000673
Medical Identifiers
Medical identifiers for Dr Shawn Patrick Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831276286 | NPI | - | NPPES |
| 01837136 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 194468 (New York) | Primary |
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 Shawn Patrick 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 |
|---|
Dr Shawn Patrick Cannon, DO
Po Box 97,
Wainscott, NY 11975-0097
Ph: (631) 267-5373 | Dr Shawn Patrick Cannon, DO
518 Montauk Hwy, Suite 102,
Amagansett, NY 11930-2110
Ph: (631) 267-5373 |
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