Kimberly Cannon, is a medicare enrolled "Occupational Therapist" provider in Richmond Hills, Georgia. Her current practice location is
27 Carter Street, Richmond Hills, Georgia. You can reach out to her office (for appointments etc.) via phone at
(850) 862-7227.
Kimberly Cannon is licensed to practice in Florida (license number 8320) 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 1700282084.
Healthcare Provider's Profile
| Full Name | Kimberly Cannon |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
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| Location | 27 Carter Street, Richmond Hills, Georgia |
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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: 1700282084
- Provider Enumeration Date: 11/13/2014
- Last Update Date: 03/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901206952
- Enrollment ID: I20210611001924
Medical Identifiers
Medical identifiers for Kimberly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700282084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | OT005298 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | 8320 (Florida) | 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. Kimberly 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 Address | Practice Location Address |
Kimberly Cannon, 27 Carter Street, Richmond Hills, GA 31324 Ph: (850) 862-7227 | Kimberly Cannon, 27 Carter Street, Richmond Hills, GA 31324 Ph: (850) 862-7227 |
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