Mrs Jaimie Suzanne Cannon, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Benton, MO

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Mrs Jaimie Suzanne Cannon, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Benton, Missouri. Her current practice location is 6468 State Highway 77, Benton, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 545-3565.

Mrs Jaimie Suzanne Cannon is licensed to practice in Missouri (license number 2015004268) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902297880.

Contact Information

Mrs Jaimie Suzanne Cannon, MSN, APRN, FNP-C
6468 State Highway 77,
Benton, MO 63736-8237
(573) 545-3565
(573) 545-3491

Map and Direction




Provider's Profile

Full NameMrs Jaimie Suzanne Cannon
GenderFemale
SpecialityNurse Practitioner - Family
Location6468 State Highway 77, Benton, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902297880
  • Provider Enumeration Date: 02/12/2015
  • Last Update Date: 02/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6507279098
  • Enrollment ID: I20201229002983

Medical Identifiers

Medical identifiers for Mrs Jaimie Suzanne Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902297880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2015004268 (Missouri)Primary

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. Mrs Jaimie Suzanne Cannon allows following entities to bill medicare on her behalf.
Entity NameSoutheast Missouri Hospital Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775

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. Mrs Jaimie Suzanne 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
Mrs Jaimie Suzanne Cannon, MSN, APRN, FNP-C
6468 State Highway 77,
Benton, MO 63736-8237

Ph: (573) 545-3565		Mrs Jaimie Suzanne Cannon, MSN, APRN, FNP-C
6468 State Highway 77,
Benton, MO 63736-8237

Ph: (573) 545-3565

Reviews and Comments


Nurse Practitioner Nurses in Benton, MO

Ms. Blake Borders,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 222 Bland St, Benton, MO 63736
Phone: 573-427-6027    Fax: 573-427-6027
Amber Nicole Thorne, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6468 State Highway 77, Benton, MO 63736
Phone: 573-545-3700    

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.