Philip John Cannon, MD - Medicare Emergency Medicine in Lawrenceville, GA

Philip John Cannon, MD is a medicare enrolled "Emergency Medicine" physician in Lawrenceville, Georgia. His current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 442-3317.

Philip John Cannon is licensed to practice in Georgia (license number 029853) 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 1194852392.

Contact Information

Philip John Cannon, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694
(678) 442-3317
(678) 442-4416



Physician's Profile

Full NamePhilip John Cannon
GenderMale
SpecialityEmergency Medicine
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194852392
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385727155
  • Enrollment ID: I20080218000112

Medical Identifiers

Medical identifiers for Philip John Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194852392NPI-NPPES
00361292EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 029853 (Georgia)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. Philip John Cannon allows following entities to bill medicare on his behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165

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Entity NameGwinnett Emergency Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437346467
PECOS PAC ID: 0840373619
Enrollment ID: O20080218000080

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Entity NameGwinnett Emergency Specialists Observation Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720373129
PECOS PAC ID: 7618140955
Enrollment ID: O20111101000364

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Entity NameAngelfish Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407259500
PECOS PAC ID: 7517282817
Enrollment ID: O20150209000684

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Entity NameAtlantic Cod Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801292693
PECOS PAC ID: 0345567616
Enrollment ID: O20150325001463

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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. Philip John 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
Philip John Cannon, MD
1466 Peachtree Battle Ave Nw,
Atlanta, GA 30327-1426

Ph: (678) 442-3317
Philip John Cannon, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694

Ph: (678) 442-3317

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Carotid endarterectomy can benefit the majority of patients with severe carotid artery stenosis. However, the therapeutic effects of this technique in patients with symptomatic internal carotid artery occlusion remain controversial.

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› Verified 8 days ago


Emergency Medicine Doctors in Lawrenceville, GA

Amanarh Albert Kisseih, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416
Dr. Anna Carolyn Nay, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046
Phone: 678-312-3317    
Donald Alfred Ruf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416
Roy Gilbreath, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1185 Rivershyre Pkwy, Lawrenceville, GA 30043
Phone: 678-591-7640    
Tiffany Mckinnie, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-4416    
Danielle Hines, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-3317    
Dr. James Lofton Smith Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-3317    Fax: 678-442-4416

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