Ms Nicole Margaret Cannon, DPT in Philadelphia, PA - Medicare Physical Therapist Provider

Ms Nicole Margaret Cannon, DPT is a medicare enrolled "Physical Therapist" provider in Philadelphia, Pennsylvania. Her current practice location is 2129 W Oregon Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 336-6630.

Ms Nicole Margaret Cannon is licensed to practice in Pennsylvania (license number PT019539) 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 1942451356.

Contact Information

	Ms Nicole Margaret Cannon, DPT
	2129 W Oregon Ave, Philadelphia, PA 19145-4131
	(215) 336-6630
	(215) 336-3928

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nicole Margaret Cannon
Gender	Female
Speciality	Physical Therapist
Location	2129 W Oregon Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942451356
Provider Enumeration Date: 10/03/2008
Last Update Date: 10/03/2008

Medicare PECOS Information:

PECOS PAC ID: 1254513906
Enrollment ID: I20180215002127

Medical Identifiers

Medical identifiers for Ms Nicole Margaret Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942451356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT019539 (Pennsylvania)	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. Ms Nicole Margaret Cannon allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Network Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865

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. Ms Nicole Margaret 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
Ms Nicole Margaret Cannon, DPT 2129 W Oregon Ave, Philadelphia, PA 19145-4131 Ph: (215) 336-6630	Ms Nicole Margaret Cannon, DPT 2129 W Oregon Ave, Philadelphia, PA 19145-4131 Ph: (215) 336-6630

Reviews and Comments

Physical Therapist in Philadelphia, PA

Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774
Vincent Ngo, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397

Ms Nicole Margaret Cannon, DPT - Medicare Physical Therapist in Philadelphia, PA