| Emily Elizabeth Cannon, MD | |
|
4300 W Main St, Ste 24, Dothan, AL 36305-1054 | |
| (334) 793-1534 | |
| (334) 793-6840 |
| Full Name | Emily Elizabeth Cannon |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 4300 W Main St, Dothan, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053572313 | NPI | - | NPPES |
| 102I024801 | Other | AL | MEDICARE |
| 51136878 | Other | AL | BCBS |
| 150133 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD29882 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wiregrass Clinic Llc | 2860662491 | 69 |
| Entity Name | Wiregrass Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Elizabeth Cannon, MD 4300 W Main St, Ste 24, Dothan, AL 36305-1054 Ph: (334) 793-1534 | Emily Elizabeth Cannon, MD 4300 W Main St, Ste 24, Dothan, AL 36305-1054 Ph: (334) 793-1534 |
Dr. Bryant Fleming Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301 Phone: 334-794-4159 Fax: 334-792-7019 |
Charles Jackie Carpenter Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 21, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 |
Michael Puccinelli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 21, Dothan, AL 36305 Phone: 334-699-7900 |
Jeffrey Bray Whitehurst, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 112 Haven Drive, Suite 1, Dothan, AL 36301 Phone: 334-671-5050 Fax: 334-671-5070 |
Abdelsalam Osman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 |
Jeffery L Walding, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Ross Clark Cir, Dothan, AL 36303 Phone: 334-699-7477 |
Dr. Steven M. Fendley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Ste 24, Dothan, AL 36305 Phone: 334-793-1534 Fax: 334-793-6840 |