Dr Jeffrey Alexander Cannon, MD | |
11901 Toepperwein Rd, Suite1201, Live Oak, TX 78233-3161 | |
(210) 650-9066 | |
(210) 650-9067 |
Full Name | Dr Jeffrey Alexander Cannon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 11901 Toepperwein Rd, Live Oak, Texas |
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 |
---|---|---|---|
1174638902 | NPI | - | NPPES |
P00178727 | Other | TX | RAILROAD MEDICARE |
L8002 | Other | TX | STATE LICENSE |
8P1541 | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L8002 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caritas Family Medicine Pa | 3678540648 | 2 |
Entity Name | Caritas Family Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215042189 PECOS PAC ID: 3678540648 Enrollment ID: O20040910000752 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Alexander Cannon, MD 11901 Toepperwein Rd, Suite1201, Live Oak, TX 78233-3161 Ph: (210) 650-9066 | Dr Jeffrey Alexander Cannon, MD 11901 Toepperwein Rd, Suite1201, Live Oak, TX 78233-3161 Ph: (210) 650-9066 |
Dr. Joseph Renteria Luna Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12602 Toepperwein Rd, #100, Live Oak, TX 78233 Phone: 210-654-0030 Fax: 855-278-4550 | |
Michael James Rosedale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11901 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Dr. Moiz Abbas Tajkhanji, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11355 Toepperweinroad, Live Oak, TX 78233 Phone: 210-654-7200 Fax: 210-654-7211 | |
Dr. David Wayne Talafuse, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11901 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Roselyn Omungo, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12410 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-742-6555 | |
Dr. Vedanti Yogesh Upadhyaya, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 12702 N Ih 35, Live Oak, TX 78233 Phone: 210-650-9660 Fax: 210-654-1432 |