Michael Kollin Cannon, PT | |
5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 | |
(228) 575-8429 | |
(228) 575-8891 |
Full Name | Michael Kollin Cannon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 5107 Beatline Rd Ste 300, Long Beach, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811596232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6701 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Encore Rehabilitation, Inc | 3577462126 | 150 |
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
Mailing Address | Practice Location Address |
---|---|
Michael Kollin Cannon, PT 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Michael Kollin Cannon, PT 5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 Ph: (228) 575-8429 |
Mrs. Karen E. Merkle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 La Rosa Rd Ste A, Long Beach, MS 39560 Phone: 228-863-4080 Fax: 228-863-4014 | |
Mr. Raymond A Belisle, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5132 Beatline Rd, Suite D, Long Beach, MS 39560 Phone: 228-575-8429 Fax: 228-575-8891 | |
Sarah Anne Schroeder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 La Rosa Rd Ste A, Long Beach, MS 39560 Phone: 228-863-4080 Fax: 228-863-4014 | |
Ms. Lori Ann Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19020 Pineville Rd Ste 4, Long Beach, MS 39560 Phone: 228-863-4080 | |
Miss Jane Waldrop, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5132 Beatline Rd, Suite D, Long Beach, MS 39560 Phone: 228-575-8429 Fax: 228-575-8891 | |
Laura Catherine Ranson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 Phone: 228-864-5090 Fax: 228-864-5054 | |
Mr. Steven Harry Myers, MSPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 100 La Rosa Rd Ste A, Long Beach, MS 39560 Phone: 228-863-4080 Fax: 228-863-4014 |