Matthew David Cannon, DO in Spartanburg, SC

Matthew David Cannon, DO is a medicare enrolled "Family Medicine" physician in Spartanburg, South Carolina. His current practice location is 853 N Church St Ste 510, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6193.

Matthew David Cannon is licensed to practice in South Carolina (license number LL1020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851472872.

Contact Information

	Matthew David Cannon, DO
	853 N Church St Ste 510, Spartanburg, SC 29303-3077
	(864) 560-6193
	(864) 560-1510

Map and Direction

Physician's Profile

Full Name	Matthew David Cannon
Gender	Male
Speciality	Family Medicine
Location	853 N Church St Ste 510, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851472872
Provider Enumeration Date: 10/17/2006
Last Update Date: 10/03/2018

Medicare PECOS Information:

PECOS PAC ID: 2769587914
Enrollment ID: I20070417000106

Medical Identifiers

Medical identifiers for Matthew David Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851472872	NPI	-	NPPES
SC98233365	Other	SC	MEDICARE PIN
010204	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL1020 (South Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew David Cannon allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

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. Matthew David 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
Matthew David Cannon, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Matthew David Cannon, DO 853 N Church St Ste 510, Spartanburg, SC 29303-3077 Ph: (864) 560-6193

Reviews and Comments

Family Medicine Doctors in Spartanburg, SC

Jordan Ashley Grice, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 College St, Spartanburg, SC 29303 Phone: 864-582-2411 Fax: 864-594-0040
Lee B Taylor Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Reidville Rd, Spartanburg, SC 29301 Phone: 864-576-9201 Fax: 864-576-6584
James Spearman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Spartanburg, SC 29303 Phone: 864-560-6193
Eric L. Cole, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 Skylyn Dr Ste 300a, Spartanburg, SC 29307 Phone: 864-342-4000 Fax: 864-596-7409
James Jeffrey Morrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 Fax: 864-576-8932
Gayatri Sarangdhar Surwade, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 853 N Church St, Suite 510, Spartanburg, SC 29303 Phone: 864-560-7001
Sean Mellon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 401, Spartanburg, SC 29303 Phone: 864-560-6000

Matthew David Cannon, DO - Medicare Family Medicine in Spartanburg, SC