Bryan James Cannon, MD in Wildwood, MO - Medicare Family Practice

Bryan James Cannon, MD is a medicare enrolled "Family Medicine" physician in Wildwood, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic East Communities and his current practice location is 16555 Manchester Rd, Suite 100, Wildwood, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 458-0646.

Bryan James Cannon is licensed to practice in Missouri (license number 2016016732) 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 1265662068.

Contact Information

	Bryan James Cannon, MD
	16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220
	(636) 458-0646
	Not Available

Map and Direction

Physician's Profile

Full Name	Bryan James Cannon
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	16555 Manchester Rd, Wildwood, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bryan James Cannon attended and graduated from University Of Missouri, Columbia School Of Medicine in 2009

NPI Data:

NPI Number: 1265662068
Provider Enumeration Date: 07/15/2009
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 7810285707
Enrollment ID: I20161010000177

Medical Identifiers

Medical identifiers for Bryan James Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265662068	NPI	-	NPPES
1265662068	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	6038 (Nebraska)	Secondary
207Q00000X	Family Medicine	2016016732 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital St Louis	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic East Communities	7214827922	491

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. Bryan James Cannon allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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. Bryan James 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
Bryan James Cannon, MD 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646	Bryan James Cannon, MD 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646

Reviews and Comments

Family Medicine Doctors in Wildwood, MO

Dr. Devin R Willis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16555 Manchester Rd Ste 100, Wildwood, MO 63040 Phone: 636-458-0646 Fax: 636-458-5008
Michael Joseph Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040 Phone: 636-458-0646 Fax: 636-458-5008
Dr. Brenda Gail Izen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2638 Highway 109 Ste 101, Wildwood, MO 63040 Phone: 636-821-2500 Fax: 636-821-2210
Lisa C Burns, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040 Phone: 636-458-0646

Bryan James Cannon, MD - Medicare Family Practice in Wildwood, MO