| Chad M Cannon, MD | |
|
3901 Rainbow Blvd, Professional Services Of Ku Hospital, Kansas City, KS 66160-0001 | |
| (913) 588-6504 | |
| (913) 588-9104 |
| Full Name | Chad M Cannon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3901 Rainbow Blvd, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952410961 | NPI | - | NPPES |
| 7041574 | Other | AETNA | |
| P00182493 | Other | RR MEDICARE | |
| 10001707900 | Other | CHP PROVIDER NUMBER | |
| 33979012 | Other | BCBS PSKU | |
| 478140 | Other | FIRSTGUARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 04-30528 (Kansas) | Primary |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | University Of Kansas Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad M Cannon, MD 2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med. Ste 312, Westwood, KS 66205-2005 Ph: (913) 588-9800 | Chad M Cannon, MD 3901 Rainbow Blvd, Professional Services Of Ku Hospital, Kansas City, KS 66160-0001 Ph: (913) 588-6504 |
Thomas Deskin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Olathe Blvd Level 1, Suite D, Kansas City, KS 66160 Phone: 135-882-2009 Fax: 913-588-8423 | |
Stephanie Thom, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Department Of Emergency Medicine, 4000 Cambridge Street Ms 1019, Kansas City, KS 66160 Phone: 913-588-5000 | |
Lawson Montgomery, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 Phone: 913-945-7483 | |
Austin Mayes Petz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1559 | |
Mary L. Thiessen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-6500 | |
Shanda Riley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Adam Skinner, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 |