Nicole Canon, MD is a medicare enrolled "Allergy & Immunology" physician in Vacaville, California. She went to University Of Texas Medical School At San Antonio and graduated in 2016 and has 10 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Permanente Medical Group Inc and 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 | Allergy/immunology |
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| Experience | 10 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 University Of Texas Medical School At San Antonio in 2016
NPI Data:
- NPI Number: 1104288398
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042552697
- Enrollment ID: I20240125002889
Medical Identifiers
Medical identifiers for Nicole Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104288398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 10968 |
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. Nicole Canon allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. 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 |
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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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