Kathryn Nannette Cannon, - Medicare Physician Assistant in Orange Park, FL

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Kathryn Nannette Cannon, is a medicare enrolled "Physician Assistant" in Orange Park, Florida. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Vincent's Ambulatory Care Inc, Lake Area Physical Therapy Inc. and her current practice location is 2300 Park Ave Ste 200, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 296-2900.

Kathryn Nannette Cannon is licensed to practice in Florida (license number PA9112385) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1518523836.

Contact Information

Kathryn Nannette Cannon,
2300 Park Ave Ste 200,
Orange Park, FL 32073-5571
(904) 296-2900
(904) 296-1140

Map and Direction




Provider's Profile

Full NameKathryn Nannette Cannon
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location2300 Park Ave Ste 200, Orange Park, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Nannette Cannon graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1518523836
  • Provider Enumeration Date: 05/13/2019
  • Last Update Date: 10/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567894934
  • Enrollment ID: I20191125000220

Medical Identifiers

Medical identifiers for Kathryn Nannette Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518523836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9112385 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Health At Home Of Florida 1 LlcJacksonville, FLHome health agency
Ascension St Vincent's SouthsideJacksonville, FLHospital
Ascension St Vincent's RiversideJacksonville, FLHospital
Ascension St Vincent's Clay CountyMiddleburg, FLHospital
Hca Florida Orange Park HospitalOrange park, FLHospital
Brooks Rehabilitation Hospital University CampusJacksonville, FLInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188303
Lake Area Physical Therapy Inc.3678604840372

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. Kathryn Nannette Cannon allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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. Kathryn Nannette 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
Kathryn Nannette Cannon,
4205 Belfort Rd Ste 4015,
Jacksonville, FL 32216-3623

Ph: Not Available		Kathryn Nannette Cannon,
2300 Park Ave Ste 200,
Orange Park, FL 32073-5571

Ph: (904) 296-2900

Reviews and Comments


Physician Assistant Nurses in Orange Park, FL

Christy Gieger, PA-C
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Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073
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Peter Perry, P.A.-C
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Phone: 904-264-7517    Fax: 904-264-0015
Andrea Castano,
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Mekenna Anne Barton, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 906 Park Ave, Orange Park, FL 32073
Phone: 904-541-0315    
Radu Gheorghe, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1895 Kingsley Ave Ste 300, Orange Park, FL 32073
Phone: 904-276-2549    Fax: 904-276-9235
Kathleen Yancey, RD, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 906 Park Ave, Orange Park, FL 32073
Phone: 904-541-0315    Fax: 904-541-0316
Whitney E. Law, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Park Ave., Nemours Childrens Clinic, Orange Park, Orange Park, FL 32073
Phone: 904-697-3694    Fax: 904-697-3927

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.