Dr Changa H Cannon, DDS - Medicare Dentist in Tulsa, OK

Dr Changa H Cannon, DDS is a medicare enrolled "Dentist" provider in Tulsa, Oklahoma. His current practice location is 7458 S Olympia Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (202) 489-3661.

Dr Changa H Cannon is licensed to practice in Oklahoma (license number 6236) 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 1578581476.

Contact Information

Dr Changa H Cannon, DDS
7458 S Olympia Ave,
Tulsa, OK 74132-1838
(202) 489-3661
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Changa H Cannon
GenderMale
SpecialityDentist
Location7458 S Olympia Ave, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578581476
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 12/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0547571002
  • Enrollment ID: I20160112001244

Medical Identifiers

Medical identifiers for Dr Changa H Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578581476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 6236 (Oklahoma)Primary

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 Changa H 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
Dr Changa H Cannon, DDS
7458 S Olympia Ave,
Tulsa, OK 74132-1838

Ph: (202) 489-3661
Dr Changa H Cannon, DDS
7458 S Olympia Ave,
Tulsa, OK 74132-1838

Ph: (202) 489-3661

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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