Tyler Ross Cannon, DPT in Phoenix, AZ - Medicare Physical Therapist Provider

Tyler Ross Cannon, DPT is a medicare enrolled "Physical Therapist" provider in Phoenix, Arizona. His current practice location is 1818 E Sky Harbor Cir N Ste 150, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 244-9500.

Tyler Ross Cannon is licensed to practice in Arizona (license number LPT-32226) 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 1275288821.

Contact Information

	Tyler Ross Cannon, DPT
	1818 E Sky Harbor Cir N Ste 150, Phoenix, AZ 85034-3410
	(602) 244-9500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Ross Cannon
Gender	Male
Speciality	Physical Therapist
Location	1818 E Sky Harbor Cir N Ste 150, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275288821
Provider Enumeration Date: 02/12/2022
Last Update Date: 02/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3577927615
Enrollment ID: I20230907004539

Medical Identifiers

Medical identifiers for Tyler Ross Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275288821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-32226 (Arizona)	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. Tyler Ross Cannon allows following entities to bill medicare on his behalf.

Provider Name	Mcdonald Rehab, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497948509 PECOS PAC ID: 2163505603 Enrollment ID: O20080207000254

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. Tyler Ross 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
Tyler Ross Cannon, DPT 2760 W Sahuaro Dr Apt 25-204, Phoenix, AZ 85029-5803 Ph: (208) 705-2677	Tyler Ross Cannon, DPT 1818 E Sky Harbor Cir N Ste 150, Phoenix, AZ 85034-3410 Ph: (602) 244-9500

Reviews and Comments

Physical Therapist in Phoenix, AZ

Mrs. Judith Savage Shoup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10251 N 35th Ave, Phoenix, AZ 85051 Phone: 602-995-7366 Fax: 602-995-0867
Ms. Hillary Kristi Vance, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave, Building 8, Phoenix, AZ 85027 Phone: 623-594-9034 Fax: 623-594-9868
Dr. Sarah Buschmann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5055 E Washington St, Phoenix, AZ 85034 Phone: 602-277-1073
Dr. Haley Dudzinski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2942 N 7th Ave Ste A101, Phoenix, AZ 85013 Phone: 602-277-0084 Fax: 602-277-0885
Kendra Ann Scott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 E Earll Dr Ste 360, Phoenix, AZ 85012 Phone: 480-788-5621 Fax: 480-779-1277
Dr. Taylor Wingstrom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 41818 N Venture Dr Ste 120, Phoenix, AZ 85086 Phone: 623-742-7338
Steven Notaro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2222 E Highland Ave Ste 310, Phoenix, AZ 85016 Phone: 602-512-8550

Tyler Ross Cannon, DPT - Medicare Physical Therapist in Phoenix, AZ