| Cassandra Cherie Cannon, PA-C | |
|
2855 Crain Hwy, Waldorf, MD 20601-2840 | |
| (240) 427-1926 | |
| Not Available |
| Full Name | Cassandra Cherie Cannon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2855 Crain Hwy, Waldorf, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942610787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0006920 (Maryland) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA08442 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patient First Maryland Medical Group Pllc | 4385538735 | 258 |
| Entity Name | Patient First Maryland Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962423632 PECOS PAC ID: 4385538735 Enrollment ID: O20040209000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Cherie Cannon, PA-C 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Cassandra Cherie Cannon, PA-C 2855 Crain Hwy, Waldorf, MD 20601-2840 Ph: (240) 427-1926 |
Mrs. Chinyere Ngozi Eze, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11750 Business Park Dr, Suite 103, Waldorf, MD 20601 Phone: 240-419-3865 |
Jennifer Hilfiker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Post Office Rd Ste C, Waldorf, MD 20602 Phone: 301-645-8322 |
Miss Monica Renee Leid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 Old Washington Rd Ste 3010, Waldorf, MD 20602 Phone: 855-527-7246 Fax: 866-229-5063 |
Kristen Elise Lohr, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12090 Old Line Centre, Waldorf, MD 20602 Phone: 301-843-3888 Fax: 301-870-6838 |
Lilli Elizabeth Conner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr Ste 303, Waldorf, MD 20602 Phone: 301-645-5100 |
Ili Wathen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3500 Old Washington Rd Ste 201, Waldorf, MD 20602 Phone: 301-396-2003 Fax: 240-222-3134 |
Jordan Alexandra Geis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12070 Old Line Ctr Ste 212, Waldorf, MD 20602 Phone: 301-710-0455 |