Dr Daniel Edward Cannon, MD | |
700 W Ironwood Dr Ste 278, Coeur D Alene, ID 83814-4400 | |
(208) 625-5160 | |
(208) 625-5733 |
Full Name | Dr Daniel Edward Cannon |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 15 Years |
Location | 700 W Ironwood Dr Ste 278, Coeur D Alene, Idaho |
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 |
---|---|---|---|
1497997092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | M14014 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Bonner General Hospital | Sandpoint, ID | Hospital |
Shoshone Medical Center | Kellogg, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kootenai Health Inc | 1355792276 | 330 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Edward Cannon, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085 | Dr Daniel Edward Cannon, MD 700 W Ironwood Dr Ste 278, Coeur D Alene, ID 83814-4400 Ph: (208) 625-5160 |
Dr. Robert C. Farr, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814 Phone: 208-765-1345 Fax: 208-667-9622 | |
Dr. Ronald J Stout, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814 Phone: 208-765-1345 Fax: 208-667-9622 | |
Dr. Ian M Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr, Suite 278, Coeur D Alene, ID 83814 Phone: 208-625-5160 Fax: 208-625-5733 |