Da Monica Alethea Cannon, NP - Medicare Nurse Practitioner in Columbus, GA

Da Monica Alethea Cannon, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Columbus, Georgia. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbus Ambulatory Healthcare Services, Inc., Shamil Pc and her current practice location is 2737 Warm Springs Rd Ste C, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 571-1136.

Da Monica Alethea Cannon is licensed to practice in Georgia (license number RN158350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063028793.

Contact Information

Da Monica Alethea Cannon, NP
2737 Warm Springs Rd Ste C,
Columbus, GA 31904-5328
(706) 571-1136
Not Available



Physician's Profile

Full NameDa Monica Alethea Cannon
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2737 Warm Springs Rd Ste C, Columbus, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Da Monica Alethea Cannon graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1063028793
  • Provider Enumeration Date: 09/18/2020
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769892801
  • Enrollment ID: I20201102000511

Medical Identifiers

Medical identifiers for Da Monica Alethea Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063028793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine RN158350 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN158350 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Columbus Regional MidtownColumbus, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbus Ambulatory Healthcare Services, Inc.135524438595
Shamil Pc82241083785

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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. Da Monica Alethea Cannon allows following entities to bill medicare on her behalf.
Entity NameColumbus Ambulatory Healthcare Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790733244
PECOS PAC ID: 1355244385
Enrollment ID: O20040128000790

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Entity NameShamil Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215100136
PECOS PAC ID: 8224108378
Enrollment ID: O20080602000749

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Entity NameSai Nursing Home Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992269591
PECOS PAC ID: 5890036214
Enrollment ID: O20190412001148

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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. Da Monica Alethea 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
Da Monica Alethea Cannon, NP
Po Box 2585,
Columbus, GA 31902-2585

Ph: (706) 507-5441
Da Monica Alethea Cannon, NP
2737 Warm Springs Rd Ste C,
Columbus, GA 31904-5328

Ph: (706) 571-1136

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