| Michael W Cannon, MD | |
|
1 Mt. Carmel Way, Pittsburgh, KS 66762 | |
| (620) 231-6100 | |
| (316) 262-0706 |
| Full Name | Michael W Cannon |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 50 Years |
| Location | 1 Mt. Carmel Way, Pittsburgh, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982666236 | NPI | - | NPPES |
| 1286700004 | Other | KS | DMERC REGION 1 |
| 1286700009 | Other | KS | DMERC REGION 1 |
| 1286700013 | Other | KS | DMERC REGION 1 |
| 100189850A | Medicaid | KS | |
| 1286700003 | Other | KS | DMERC REGION 1 |
| 1286700011 | Other | KS | DMERC REGION 1 |
| 1286700015 | Other | KS | DMERC REGION 1 |
| 1286700002 | Other | KS | DMERC REGION 1 |
| 1286700006 | Other | KS | DMERC REGION 1 |
| 1286700008 | Other | DMERC REGION 1 | |
| 1286700005 | Other | KS | DMERC REGION 1 |
| 1286700007 | Other | KS | DMERC REGION 1 |
| 1286700012 | Other | KS | DMERC REGION 1 |
| 12867010010 | Other | KS | DMERC REGION 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 0418085 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
| Girard Medical Center | Girard, KS | Hospital |
| Cox Barton County Hospital | Lamar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Pittsburg Llc | 7618418088 | 32 |
| Entity Name | Ascension Via Christi Hospital Pittsburg, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760408975 PECOS PAC ID: 0547171670 Enrollment ID: O20031105000718 |
| Entity Name | Mercy Clinic Pittsburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912751884 PECOS PAC ID: 7618418088 Enrollment ID: O20240925002855 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Cannon, MD 1 Mt. Carmel Way, Pittsburgh, KS 66762 Ph: (620) 231-6100 | Michael W Cannon, MD 1 Mt. Carmel Way, Pittsburgh, KS 66762 Ph: (620) 231-6100 |