Douglas Todd Cannon, MD in Cordova, TN - Medicare Physical Medicine And Rehabilitation

Douglas Todd Cannon, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Cordova, Tennessee. He went to Washington University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and his current practice location is 8000 Centerview Pkwy, Suite 500, Cordova, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 759-3100.

Douglas Todd Cannon is licensed to practice in Tennessee (license number 50010) 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 1376569210.

Contact Information

	Douglas Todd Cannon, MD
	8000 Centerview Pkwy, Suite 500, Cordova, TN 38018-4227
	(901) 759-3100
	(901) 759-3196

Map and Direction

Physician's Profile

Full Name	Douglas Todd Cannon
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	31 Years
Location	8000 Centerview Pkwy, Cordova, Tennessee
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:

Douglas Todd Cannon attended and graduated from Washington University School Of Medicine in 1993

NPI Data:

NPI Number: 1376569210
Provider Enumeration Date: 07/14/2006
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9739267683
Enrollment ID: I20130805000074

Medical Identifiers

Medical identifiers for Douglas Todd Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376569210	NPI	-	NPPES
05254852	Medicaid	MS
Q004010	Medicaid	TN
199076001	Medicaid	AR
100295624	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	22876 (Mississippi)	Secondary
208100000X	Physical Medicine & Rehabilitation	50010 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Campbell Clinic Pc	9638082076	139
Campbell Clinic Pc	9638082076	139

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. Douglas Todd Cannon allows following entities to bill medicare on his behalf.

Entity Name	Campbell Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216

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. Douglas Todd 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
Douglas Todd Cannon, MD 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100	Douglas Todd Cannon, MD 8000 Centerview Pkwy, Suite 500, Cordova, TN 38018-4227 Ph: (901) 759-3100

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Cordova, TN

Dr. Christian Bradfield, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7865 Trinity Rd Ste 108, Cordova, TN 38018 Phone: 901-737-4035
Cornelius Martin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 353 S Berkshire Cv, Cordova, TN 38018 Phone: 901-356-6750
Carlos E Rivera-tavarez, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8000 Centerview Pkwy, Cordova, TN 38018 Phone: 901-759-3100 Fax: 901-759-3196

Douglas Todd Cannon, MD - Medicare Physical Medicine And Rehabilitation in Cordova, TN