Grace Canon, - Medicare Anesthesiology Assistant in Colorado Springs, CO

Grace Canon, is a medicare enrolled "Anesthesiologist Assistant" in Colorado Springs, Colorado. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is 1400 E Boulder St Ste 2508, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 365-6999.

Grace Canon is licensed to practice in Colorado (license number ANT.0000107) 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 1932642444.

Contact Information

Grace Canon,
1400 E Boulder St Ste 2508,
Colorado Springs, CO 80909
(719) 365-6999
(719) 365-2837



Provider's Profile

Full NameGrace Canon
GenderFemale
SpecialityAnesthesiology Assistant
Experience8 Years
Location1400 E Boulder St Ste 2508, Colorado Springs, Colorado
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:
  • Grace Canon graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1932642444
  • Provider Enumeration Date: 12/01/2016
  • Last Update Date: 02/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8123300605
  • Enrollment ID: I20190417000261

Medical Identifiers

Medical identifiers for Grace Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932642444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 008194 (Georgia)Secondary
367H00000XAnesthesiologist Assistant ANT.0000107 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uch-memorial Health SystemColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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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. Grace Canon allows following entities to bill medicare on her behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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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. Grace Canon 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
Grace Canon,
2695 Rocky Mountain Ave Ste 150,
Loveland, CO 80538-9071

Ph: (970) 624-4034
Grace Canon,
1400 E Boulder St Ste 2508,
Colorado Springs, CO 80909

Ph: (719) 365-6999

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Anesthesiologist Assistant Nurses in Colorado Springs, CO

Jennifer Nguyen, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909
Phone: 719-365-6999    
Taryn Victoria Arcarese, C-AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907
Phone: 719-776-5000    
Mr. Drew Willliam Renfroe, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909
Phone: 719-365-6999    Fax: 719-365-2837
Travis G. Lundell, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909
Phone: 719-365-6999    Fax: 719-365-2837
Warren Beck, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909
Phone: 719-365-6999    Fax: 719-365-2837
Benjamin M Durtschi, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909
Phone: 719-365-6999    Fax: 719-365-2837
Mrs. Charlotte Rebecca Johnson, C-AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909
Phone: 719-365-5000    

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