Dr Lisa Marie Cannon, MD - Medicare Colorectal Surgery (proctology) in Chicago, IL

Dr Lisa Marie Cannon, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chicago, Illinois. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 2008 and has 11 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice The University Of Chicago Medical Center, University Of Chicago Physcians Group and her current practice location is 5841 S Maryland Ave, Mc 5094, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 834-3631.

Dr Lisa Marie Cannon is licensed to practice in Illinois (license number 036.132206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841450640.

Contact Information

Dr Lisa Marie Cannon, MD
5841 S Maryland Ave, Mc 5094,
Chicago, IL 60637-1447
(773) 834-3631
Not Available

Map and Direction




Physician's Profile

Full NameDr Lisa Marie Cannon
GenderFemale
SpecialityColorectal Surgery (proctology)
Experience11 Years
Location5841 S Maryland Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Marie Cannon attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2008
  NPI Data:
  • NPI Number: 1841450640
  • Provider Enumeration Date: 06/15/2008
  • Last Update Date: 11/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0143449280
  • Enrollment ID: I20140922002485

Medical Identifiers

Medical identifiers for Dr Lisa Marie Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841450640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036.132206 (Illinois)Secondary
208C00000XColon & Rectal Surgery 036.132206 (Illinois)Primary

Hospital Affiliation

Hospital NameLocationType
The University Of Chicago Medical CenterChicago, ILAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The University Of Chicago Medical Center7618880766600
University Of Chicago Physcians Group7719899426807

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. Dr Lisa Marie Cannon allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago Physcians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031106000203

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 Lisa Marie 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 AddressPractice Location Address
Dr Lisa Marie Cannon, MD
2300 N Lincoln Park W, 1208,
Chicago, IL 60614-3456

Ph: (585) 313-9787
Dr Lisa Marie Cannon, MD
5841 S Maryland Ave, Mc 5094,
Chicago, IL 60637-1447

Ph: (773) 834-3631

Reviews and Comments


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.