Mary Elizabeth Cannon (NPI# 1700343530, PAC ID# 4284974791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1700343530 |
| PAC ID by PECOS | 4284974791 |
| Professional Enrollment ID | I20190320001444 |
| Full Name | Mary Elizabeth Cannon |
| Organization Legal Name | SUPPORTIVE CARE LLC |
| Address |
300 E Baker St Clarksville TX 75426-5034 |
| Phone Number | 7182984375 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7719126655 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 E Baker St, Clarksville, TX 75426-5034 | 7182984375 | SUPPORTIVE CARE LLC |
| 716 Mimosa Dr, Mineola, TX 75773-2612 | 71829843752612 | SUPPORTIVE CARE LLC |
| Organization Legal Name | SUPPORTIVE CARE LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Lakecha Osby | Clinical Social Worker | Supportive Care LLC | 1737 N Loop W, Houston, TX 77008-1425 |
| Kristen Rene Cote | Clinical Social Worker | Supportive Care LLC | 607 Parkside Dr, Groesbeck, TX 76642-1124 |
| Doyle Thomas Marrs | Psychologist, Clinical | Supportive Care LLC | 2001 E 29th St, Bryan, TX 77802-1954 |
| Kandi Rokeysha Briscoe | Clinical Social Worker | Supportive Care LLC | 1112 Smith Dr, Alvin, TX 77511-5562 |
| Jamie Louise Mckinney | Clinical Social Worker | Supportive Care LLC | 211 N Main St, Bremond, TX 76629-5296 |
| Carnesha L Collins | Clinical Social Worker | Supportive Care LLC | 1150 Whitley Rd, Keller, TX 76248-3038 |
| Marilyn S Degenhardt | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
| Sara Lee Dumas | Psychologist, Clinical | Supportive Care LLC | 910 S Beach St, Winnsboro, TX 75494-3702 |
| Frank Quinones | Clinical Social Worker | Supportive Care LLC | 4302 E Southcross Blvd, San Antonio, TX 78222-3725 |
| Cindy P Earl | Clinical Social Worker | Supportive Care LLC | 4910 Wellington St, Greenville, TX 75402-6007 |
| Street Address |
300 E BAKER ST |
| City | CLARKSVILLE |
| State | TX |
| Zip | 75426-5034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn S Degenhardt | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Michelle Hawthorne | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Rachel Leah Stanley | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Stacey D Ervin | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Ravi K Sreerama | Internal Medicine | 103 N College St, Clarksville, TX 75426-2982 | |
| Kerri Huddleston | Nurse Practitioner | Prmc Healthcare Group, Inc. | 103 N College St, Clarksville Clinic, Clarksville, TX 75426-2982 |
| Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
| Deepak Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
| City | CLARKSVILLE |
| Zip Code | 75426 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CLARKSVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mary Elizabeth Cannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.