Nicole Canon, MD is a medicare enrolled "Allergy & Immunology" physician in Vacaville, California. Her current practice location is
1 Quality Dr, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 624-2020.
Nicole Canon is licensed to practice in California (license number A192664) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104288398.
Physician's Profile
| Full Name | Nicole Canon |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1 Quality Dr, Vacaville, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Nicole Canon attended and graduated from in
NPI Data:
- NPI Number: 1104288398
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104288398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | A192664 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | T2131 (Texas) | 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. Nicole Canon 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 |
|---|
Nicole Canon, MD
1 Quality Dr,
Vacaville, CA 95688-9494
Ph: (707) 624-2020 | Nicole Canon, MD
1 Quality Dr,
Vacaville, CA 95688-9494
Ph: (707) 624-2020 |
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