Donna Cannon, FNP-C - Medicare Nurse Practitioner in Blue Mountain, MS

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Donna Cannon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blue Mountain, Mississippi. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mantachie Rural Health Care, Inc and her current practice location is 1755 County Road 81, Blue Mountain, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 538-4111.

Donna Cannon is licensed to practice in Mississippi (license number R874646) 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 1306236617.

Contact Information

Donna Cannon, FNP-C
1755 County Road 81,
Blue Mountain, MS 38610-9657
(662) 538-4111
Not Available

Map and Direction




Provider's Profile

Full NameDonna Cannon
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1755 County Road 81, Blue Mountain, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Donna Cannon graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1306236617
  • Provider Enumeration Date: 01/26/2015
  • Last Update Date: 01/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6204139678
  • Enrollment ID: I20160119000510

Medical Identifiers

Medical identifiers for Donna Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306236617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R874646 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeTupelo, MSHome health agency
North Mississippi Medical Ctr HhaTupelo, MSHome health agency
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mantachie Rural Health Care, Inc256737212112

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. Donna Cannon allows following entities to bill medicare on her behalf.
Entity NameMantachie Rural Health Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033169545
PECOS PAC ID: 2567372121
Enrollment ID: O20040921000610

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. Donna 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 AddressPractice Location Address
Donna Cannon, FNP-C
1755 County Road 81,
Blue Mountain, MS 38610-9657

Ph: (662) 538-4111		Donna Cannon, FNP-C
1755 County Road 81,
Blue Mountain, MS 38610-9657

Ph: (662) 538-4111

Reviews and Comments


Nurse Practitioner Nurses in Blue Mountain, MS

Phyllis Gail Koonce, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road 714, Blue Mountain, MS 38610
Phone: 662-538-4111    Fax: 662-538-4128
Paula Decanter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1755 County Road 81, Blue Mountain, MS 38610
Phone: 662-538-4111    Fax: 662-538-4128

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.