Chad Michael Cannon, MD | |
8131 S. Memorial Drive, Suite 107, Tulsa, OK 74133-4348 | |
(918) 252-5114 | |
(918) 748-7688 |
Full Name | Chad Michael Cannon |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 8131 S. Memorial Drive, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790947083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 26477 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
Sooner Anesthesia Services, Llc | 7416919899 | 11 |
Entity Name | Sooner Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720080401 PECOS PAC ID: 7416919899 Enrollment ID: O20041028000361 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Entity Name | Integral Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
Entity Name | Anesthesia Associates Of Tulsa Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174970669 PECOS PAC ID: 8527354166 Enrollment ID: O20160908001505 |
Mailing Address | Practice Location Address |
---|---|
Chad Michael Cannon, MD P.o. Box 235019, Montgomery, AL 36123-5019 Ph: (800) 232-5703 | Chad Michael Cannon, MD 8131 S. Memorial Drive, Suite 107, Tulsa, OK 74133-4348 Ph: (918) 252-5114 |
David Do, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2811 E 15th St Ste 102, Tulsa, OK 74104 Phone: 918-935-3240 Fax: 918-935-3241 | |
Reginald Gene Scott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Kimberlie K Dullye, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 918-587-2561 | |
Michelle Pieratt, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 361-949-4976 | |
Judy A Distefano, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9423 E 95th Ct, Tulsa, OK 74133 Phone: 918-496-2400 Fax: 918-496-2436 | |
Kenneth Calrisian Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9320 S Mingo Rd, Tulsa, OK 74133 Phone: 918-901-9701 Fax: 918-901-9702 | |
Dr. Jonathan D Friend, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146 Phone: 918-728-6194 Fax: 918-664-2521 |