Mr Robert Joseph Kanaby, PA is a medicare enrolled "Physician Assistant" in Madison, Tennessee. His current practice location is
306 W Due West Ave, Madison, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(201) 654-6397.
Mr Robert Joseph Kanaby is licensed to practice in Tennessee (license number 1359) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841226982.
Provider's Profile
| Full Name | Mr Robert Joseph Kanaby |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 306 W Due West Ave, Madison, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841226982
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901807130
- Enrollment ID: I20070130000615
Medical Identifiers
Medical identifiers for Mr Robert Joseph Kanaby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841226982 | NPI | - | NPPES |
| 1511569 | Medicaid | TN | |
| 4217372 | Other | TN | BCBST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1359 (Tennessee) | Primary |
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. Mr Robert Joseph Kanaby 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 |
Mr Robert Joseph Kanaby, PA 2079 Morgans Way, Gallatin, TN 37066-5746 Ph: (615) 681-8974 | Mr Robert Joseph Kanaby, PA 306 W Due West Ave, Madison, TN 37115-4511 Ph: (201) 654-6397 |
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