Dr John Concannon, DO - Medicare Pediatrics in Cranston, RI

Dr John Concannon, DO is a medicare enrolled "Pediatrics" physician in Cranston, Rhode Island. His current practice location is 1145 Reservoir Ave, Suite 124, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 943-7337.

Dr John Concannon is licensed to practice in Rhode Island (license number DO-00357) 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 1962409128.

Contact Information

Dr John Concannon, DO
1145 Reservoir Ave, Suite 124,
Cranston, RI 02920-6055
(401) 943-7337
(401) 942-1509



Physician's Profile

Full NameDr John Concannon
GenderMale
SpecialityPediatrics
Location1145 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962409128
  • Provider Enumeration Date: 07/02/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6305025792
  • Enrollment ID: I20110201000719

Medical Identifiers

Medical identifiers for Dr John Concannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962409128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DO-00357 (Rhode Island)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. Dr John Concannon allows following entities to bill medicare on his behalf.
Entity NameDrs. Concannon & Vitale, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366402018
PECOS PAC ID: 2567641954
Enrollment ID: O20110201000741

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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. Dr John Concannon 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
Dr John Concannon, DO
1145 Reservoir Ave, Suite 124,
Cranston, RI 02920-6055

Ph: (401) 943-7337
Dr John Concannon, DO
1145 Reservoir Ave, Suite 124,
Cranston, RI 02920-6055

Ph: (401) 943-7337

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Repro-Med Systems, Inc., announced today that it has received approval from the Food and Drug Administration to begin U.S. marketing of its new Subcutaneous Needle Sets which the company is promoting as the HIgh Flo RMS Subcutaneous Needle Sets.

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XIFIN ranked #1,447th on Inc. 5000 list of fastest-growing private companies

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Pediatrics Doctors in Cranston, RI

Dr. James Roy Bonner, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920
Phone: 401-943-9222    Fax: 401-943-9290
Dr. Carine M Leconte, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920
Phone: 401-943-9222    Fax: 401-943-9290
Dr. Colleen Concannon Vitale, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1145 Reservoir Ave, Cranston, RI 02920
Phone: 401-943-7337    
Dr. Cecile Ibrahim, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11 Magazine St, Cranston, RI 02920
Phone: 401-943-2925    
Richard K Ohnmacht, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1145 Reservoir Ave, Suite 210, Cranston, RI 02920
Phone: 401-946-1944    Fax: 401-946-2340
Dr. Rick Manuel Quiles, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 801 Park Ave, Cranston, RI 02910
Phone: 401-274-6575    
Marvin S Wasser, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 496 Pontiac Ave, Cranston, RI 02910
Phone: 401-461-2150    

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