Dr Michael Cannon, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Crystal City, Texas. His current practice location is
402 E Zavala St, Crystal City, Texas. You can reach out to his office (for appointments etc.) via phone at
(720) 252-7546.
Dr Michael Cannon is licensed to practice in Texas (license number 2169) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922494673.
Healthcare Provider's Profile
| Full Name | Dr Michael Cannon |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 402 E Zavala St, Crystal City, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Cannon attended and graduated from in
NPI Data:
- NPI Number: 1922494673
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 04/11/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922494673 | NPI | - | NPPES |
| 3520348-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 2169 (Texas) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2169 (Texas) | 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. Dr Michael 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 |
|---|
Dr Michael Cannon, DPM
402 E Zavala St, Ste 3,
Crystal City, TX 78839-3337
Ph: (720) 252-7546 | Dr Michael Cannon, DPM
402 E Zavala St,
Crystal City, TX 78839-3337
Ph: (720) 252-7546 |
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