Dr Jean Suzanne Cannon, MD is a
General Practice physician based in Ardmore, Oklahoma. Dr Jean Suzanne Cannon is licensed to practice in Oklahoma (license number 25555) and her current practice location is 2510 Chickasaw Blvd, Ardmore, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 226-8181.
NPI number for Dr Jean Suzanne Cannon is 1386815421 and her current mailing address is 2510 Chickasaw Blvd, Ardmore, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386815421.
Physician's Profile
| Full Name | Dr Jean Suzanne Cannon |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 2510 Chickasaw Blvd, Ardmore, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386815421
- Provider Enumeration Date: 03/17/2008
- Last Update Date: 09/08/2016
Medical Identifiers
Medical identifiers for Dr Jean Suzanne Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386815421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 25555 (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 Jean Suzanne Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jean Suzanne Cannon, MD
2510 Chickasaw Blvd,
Ardmore, OK 73401
Ph: (580) 226-8181 | Dr Jean Suzanne Cannon, MD
2510 Chickasaw Blvd,
Ardmore, OK 73401
Ph: (580) 226-8181 |
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