Dr Trevor M Cannon, in Midvale, UT - Medicare Physical Therapist Provider

Dr Trevor M Cannon, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Midvale, Utah. His current practice location is 6717 S 900 E Ste 201, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 649-4690.

Dr Trevor M Cannon is licensed to practice in Utah (license number 13464853-8016) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649959552.

Contact Information

	Dr Trevor M Cannon,
	6717 S 900 E Ste 201, Midvale, UT 84047-5755
	(801) 649-4690
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Trevor M Cannon
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	6717 S 900 E Ste 201, Midvale, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649959552
Provider Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7315309317
Enrollment ID: I20230808001460

Medical Identifiers

Medical identifiers for Dr Trevor M Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649959552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	13464853-8016 (Utah)	Primary

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 Trevor M Cannon allows following entities to bill medicare on his behalf.

Provider Name	Spine Orthopedic And Sports Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447275946 PECOS PAC ID: 1850320805 Enrollment ID: O20050810000154

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 Trevor M 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 Trevor M Cannon, 3303 N University Ave, Provo, UT 84604-4438 Ph: (801) 373-7438	Dr Trevor M Cannon, 6717 S 900 E Ste 201, Midvale, UT 84047-5755 Ph: (801) 649-4690

Reviews and Comments

Physical Therapist in Midvale, UT

Jason Michael Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8142 S State St, Ate 103, Midvale, UT 84047 Phone: 801-708-9226 Fax: 877-822-8366
Rebecca Flegal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 S 900 E Ste 201, Midvale, UT 84047 Phone: 801-649-4690 Fax: 801-984-4011
Fast Track Physical Therapy And Sports Medicine, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 South 900 East, Suite 201, Midvale, UT 84047 Phone: 801-649-4690 Fax: 801-984-4011
Jaron Pope, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6900 S 900 E, Midvale, UT 84047 Phone: 801-890-6626
D Jared Wehrli, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9590
Mr. Bret J. Wardle, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6900 S 900 E Ste 100, Midvale, UT 84047 Phone: 801-890-6626 Fax: 801-432-8788
Celeste Alcala, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-930-3000

Dr Trevor M Cannon, - Medicare Physical Therapist in Midvale, UT