Mr Ty Cannon, PA-C in St George, UT - Medicare Physician Assistant

Mr Ty Cannon, PA-C is a medicare enrolled "Physician Assistant" in St George, Utah. His current practice location is 616 S River Rd Ste 200, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 628-8944.

Mr Ty Cannon is licensed to practice in Utah (license number 10974132-1206) 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 1417432501.

Contact Information

	Mr Ty Cannon, PA-C
	616 S River Rd Ste 200, St George, UT 84790-2105
	(435) 628-8944
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ty Cannon
Gender	Male
Speciality	Physician Assistant
Location	616 S River Rd Ste 200, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417432501
Provider Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018

Medicare PECOS Information:

PECOS PAC ID: 2668703802
Enrollment ID: I20191018001913

Medical Identifiers

Medical identifiers for Mr Ty Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417432501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10974132-1206 (Utah)	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. Mr Ty 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
Mr Ty Cannon, PA-C 150 N 1100 E Unit 50, Washington, UT 84780-2883 Ph: (435) 231-2961	Mr Ty Cannon, PA-C 616 S River Rd Ste 200, St George, UT 84790-2105 Ph: (435) 628-8944

Reviews and Comments

Physician Assistant Nurses in St George, UT

Nicholas Paul Wittwer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-251-0400 Fax: 435-251-0401
Rachel Renae Rudd Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr Ste 3100, St George, UT 84790 Phone: 435-251-2740
Skyler Vance Buck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr Ste 1500, St George, UT 84790 Phone: 435-251-2500 Fax: 435-251-2525
Malcolm T Maxwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382
Armadeus Davidson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1584 W 1370 N, St George, UT 84770 Phone: 360-620-3233
Mr. Richard C Tebbs Ii, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-4900
Trevor Michael Gerber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, Suite 2600, St George, UT 84790 Phone: 435-251-2700

Mr Ty Cannon, PA-C - Medicare Physician Assistant in St George, UT