Mrs Lillian Deann Cannon, PA in Casper, WY - Medicare Physician Assistant

Mrs Lillian Deann Cannon, PA is a medicare enrolled "Physician Assistant" in Casper, Wyoming. Her current practice location is 5000 Blackmore Rd, Casper, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 233-6000.

Mrs Lillian Deann Cannon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174875991.

Contact Information

	Mrs Lillian Deann Cannon, PA
	5000 Blackmore Rd, Casper, WY 82609-3345
	(307) 233-6000
	(307) 233-6089

Map and Direction

Provider's Profile

Full Name	Mrs Lillian Deann Cannon
Gender	Female
Speciality	Physician Assistant
Location	5000 Blackmore Rd, Casper, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174875991
Provider Enumeration Date: 10/03/2012
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3870733868
Enrollment ID: I20130716000531

Medical Identifiers

Medical identifiers for Mrs Lillian Deann Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174875991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Mrs Lillian Deann 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
Mrs Lillian Deann Cannon, PA 1522 E A St, Casper, WY 82601-2217 Ph: (307) 234-6161	Mrs Lillian Deann Cannon, PA 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000

Reviews and Comments

Physician Assistant Nurses in Casper, WY

Travis Scoresby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6089
Mr. Chad Eric Sundquist, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1416 E A St, Suite 101, Casper, WY 82601 Phone: 307-577-8600 Fax: 307-577-8605
Sara E Malsom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6089
Starrla R Bartlett-rone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 E 2nd St, Casper, WY 82609 Phone: 307-995-8100 Fax: 307-995-8137
Jacob Ehlert, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6500 E 2nd St, Casper, WY 82609 Phone: 307-577-5100
Ms. Nikki Lynn Fedel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6600 E 2nd St, Casper, WY 82609 Phone: 307-266-4000 Fax: 307-266-4545
Chelsea Eddington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2025 E 2nd Street, Casper, WY 82609 Phone: 307-309-5915 Fax: 307-372-9959

Mrs Lillian Deann Cannon, PA - Medicare Physician Assistant in Casper, WY