Nicholas Kendall Cannella, MD - Medicare Family Medicine in Poplar Bluff, MO

Nicholas Kendall Cannella, MD is a medicare enrolled "Family Medicine" physician in Poplar Bluff, Missouri. His current practice location is 1500 N Westwood Blvd, Suite 1, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 686-4151.

Nicholas Kendall Cannella is licensed to practice in Wisconsin (license number 25907-020) 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 1518999473.

Contact Information

Nicholas Kendall Cannella, MD
1500 N Westwood Blvd, Suite 1,
Poplar Bluff, MO 63901-3318
(573) 686-4151
Not Available



Physician's Profile

Full NameNicholas Kendall Cannella
GenderMale
SpecialityFamily Medicine
Location1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518999473
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 01/23/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072706852
  • Enrollment ID: I20140127000241

Medical Identifiers

Medical identifiers for Nicholas Kendall Cannella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518999473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME46677 (Florida)Secondary
207Q00000XFamily Medicine 25907-020 (Wisconsin)Primary
207Q00000XFamily Medicine C-5843 (Arkansas)Secondary
207Q00000XFamily Medicine 23393 (Oklahoma)Secondary

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. Nicholas Kendall Cannella 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
Nicholas Kendall Cannella, MD
1500 N Westwood Blvd, Suite 1,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151
Nicholas Kendall Cannella, MD
1500 N Westwood Blvd, Suite 1,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151

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Family Medicine Doctors in Poplar Bluff, MO

Dr. Edward D Reese, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2360 Katy Ln, Poplar Bluff, MO 63901
Phone: 573-712-2546    
Robert Francis Dorsey, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2600    Fax: 573-776-2763
Dr. Donna J Allmon, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 686 Lester St, Poplar Bluff, MO 63902
Phone: 573-686-2411    Fax: 573-686-8452
Silvia Pagoada Vallecillo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2000    
Ibrahim Awawdeh, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2340 Katy Ln, Poplar Bluff, MO 63901
Phone: 573-290-3293    Fax: 669-280-5057
Maxine A Theriot, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-686-8199    Fax: 573-686-8398
Bennie N Till, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 686 Lester St, Poplar Bluff, MO 63901
Phone: 573-686-2411    Fax: 573-686-8452

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