Michael Todd Cannon, DO - Medicare Emergency Medicine in Collinsville, OK

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Michael Todd Cannon, DO is a medicare enrolled "Emergency Medicine" physician in Collinsville, Oklahoma. His current practice location is 11820 N 177th East Ave, Collinsville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 688-4762.

Michael Todd Cannon is licensed to practice in Oklahoma (license number 4284) 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 1124080106.

Contact Information

Michael Todd Cannon, DO
11820 N 177th East Ave,
Collinsville, OK 74021-5149
(918) 688-4762
Not Available

Map and Direction




Physician's Profile

Full NameMichael Todd Cannon
GenderMale
SpecialityEmergency Medicine
Location11820 N 177th East Ave, Collinsville, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124080106
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 03/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9032140413
  • Enrollment ID: I20051107000052

Medical Identifiers

Medical identifiers for Michael Todd Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124080106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4284 (Oklahoma)Primary

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. Michael Todd Cannon allows following entities to bill medicare on his behalf.
Entity NameMcalester Regional Health Center Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316940034
PECOS PAC ID: 6709796436
Enrollment ID: O20040303001042
Entity NameCmbs Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669709200
PECOS PAC ID: 6507901055
Enrollment ID: O20100308000900
Entity NameOklahoma State University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700994878
PECOS PAC ID: 2769739358
Enrollment ID: O20180730000192

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. Michael Todd 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 AddressPractice Location Address
Michael Todd Cannon, DO
11820 N 177th East Ave,
Collinsville, OK 74021-5149

Ph: (918) 688-4762		Michael Todd Cannon, DO
11820 N 177th East Ave,
Collinsville, OK 74021-5149

Ph: (918) 688-4762

Reviews and Comments


Emergency Medicine Doctors in Collinsville, OK


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.