Zachary G Cannon, MD in Tyler, TX

Zachary G Cannon, MD is a medicare enrolled "Pediatrics" physician in Tyler, Texas. His current practice location is 1000 E 5th St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 596-3862.

Zachary G Cannon is licensed to practice in Texas (license number Q2747) 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 1457648974.

Contact Information

	Zachary G Cannon, MD
	1000 E 5th St, Tyler, TX 75701-3346
	(903) 596-3862
	(903) 590-5005

Map and Direction

Physician's Profile

Full Name	Zachary G Cannon
Gender	Male
Speciality	Pediatrics
Location	1000 E 5th St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457648974
Provider Enumeration Date: 07/05/2011
Last Update Date: 01/25/2016

Medicare PECOS Information:

PECOS PAC ID: 7810114287
Enrollment ID: I20150109000980

Medical Identifiers

Medical identifiers for Zachary G Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457648974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	Q2747 (Texas)	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. Zachary G Cannon allows following entities to bill medicare on his behalf.

Entity Name	East Texas Medical Center Healthcare Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Zachary G 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
Zachary G Cannon, MD 1000 E 5th St, Tyler, TX 75701-3346 Ph: (903) 596-3862	Zachary G Cannon, MD 1000 E 5th St, Tyler, TX 75701-3346 Ph: (903) 596-3862

Reviews and Comments

Pediatrics Doctors in Tyler, TX

Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005

Zachary G Cannon, MD - Medicare Pediatrics in Tyler, TX