Dr Michael J Cannon, DO in Twin Falls, ID - Medicare Obstetrics/gynecology

Dr Michael J Cannon, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Twin Falls, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2001 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice St Lukes Clinic Llc and his current practice location is 801 Pole Line Rd W Ste 3880, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-8500.

Dr Michael J Cannon is licensed to practice in Idaho (license number O-0398) 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 1033131495.

Contact Information

	Dr Michael J Cannon, DO
	801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811
	(208) 814-8500
	(208) 933-9635

Map and Direction

Physician's Profile

Full Name	Dr Michael J Cannon
Gender	Male
Speciality	Obstetrics/gynecology
Experience	23 Years
Location	801 Pole Line Rd W Ste 3880, Twin Falls, Idaho
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:

Dr Michael J Cannon attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2001

NPI Data:

NPI Number: 1033131495
Provider Enumeration Date: 07/24/2006
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4486659307
Enrollment ID: I20060928000266

Medical Identifiers

Medical identifiers for Dr Michael J Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033131495	NPI	-	NPPES
807489600	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	O-0398 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Magic Valley Medical Center	Twin falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic Llc	1052217478	297

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 Michael J Cannon allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015

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 J 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 J Cannon, DO 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811 Ph: (082) 814-8500	Dr Michael J Cannon, DO 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811 Ph: (208) 814-8500

Reviews and Comments

Obstetrics & Gynecology Doctors in Twin Falls, ID

Bradley Meyer, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-8500
David C Allen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143
Laura M Fall, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-814-8596
Dr. Susan M Marzolf, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301 Phone: 208-814-8500
Darren W Coleman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143
Dr. Matthew H Packham, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143

Dr Michael J Cannon, DO - Medicare Obstetrics/gynecology in Twin Falls, ID