Dr Lisa Marie Cannon, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chicago, Illinois. Her current practice location is
5841 S Maryland Ave, Mc 5094, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 834-3631.
Dr Lisa Marie Cannon is licensed to practice in Illinois (license number 036.132206) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841450640.
Physician's Profile
Full Name | Dr Lisa Marie Cannon |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5841 S Maryland Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Lisa Marie Cannon attended and graduated from in
NPI Data:
- NPI Number: 1841450640
- Provider Enumeration Date: 06/15/2008
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Lisa Marie Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841450640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036.132206 (Illinois) | Secondary |
208C00000X | Colon & Rectal Surgery | 263195 (New York) | Secondary |
208C00000X | Colon & Rectal Surgery | 036.132206 (Illinois) | 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 Lisa Marie 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 Address | Practice Location Address |
Dr Lisa Marie Cannon, MD 2300 N Lincoln Park W, 1208, Chicago, IL 60614-3456 Ph: (585) 313-9787 | Dr Lisa Marie Cannon, MD 5841 S Maryland Ave, Mc 5094, Chicago, IL 60637-1447 Ph: (773) 834-3631 |
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