Dr William Mark Nannery, MD is a medicare enrolled "Surgery" physician in Canton, Massachusetts. His current practice location is
490 Chapman St, Canton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 828-4030.
Dr William Mark Nannery is licensed to practice in Massachusetts (license number 76851) 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 1174558209.
Physician's Profile
| Full Name | Dr William Mark Nannery |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 490 Chapman St, Canton, Massachusetts |
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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: 1174558209
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 2264472893
- Enrollment ID: I20050503001115
Medical Identifiers
Medical identifiers for Dr William Mark Nannery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174558209 | NPI | - | NPPES |
| 3136167 | Medicaid | MA | |
| 076851 | Other | | TUFTS |
| 9717561 | Medicaid | MA | |
| J14582 | Other | MA | BCBS |
| 8568 | Other | | HARVARD PILGRIM |
| M18288 | Other | | BCBS |
| 697329 | Other | | TUFTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 76851 (Massachusetts) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 76851 (Massachusetts) | Secondary |
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 William Mark Nannery 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 William Mark Nannery, MD
490 Chapman St,
Canton, MA 02021-2039
Ph: (781) 828-4030 | Dr William Mark Nannery, MD
490 Chapman St,
Canton, MA 02021-2039
Ph: (781) 828-4030 |
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