| Dr Michael Cannon, DPM | |
|
402 E Zavala St, Crystal City, TX 78839-3337 | |
| (720) 252-7546 | |
| Not Available |
| Full Name | Dr Michael Cannon |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 13 Years |
| Location | 402 E Zavala St, Crystal City, Texas |
| 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 |
|---|---|---|---|
| 1922494673 | NPI | - | NPPES |
| 3520348-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2169 (Texas) | Primary |
| 213E00000X | Podiatrist | 2169 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Val Verde Regional Medical Center | Del rio, TX | Hospital |
| Provider Name | United Medical Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
| Provider Name | Val Verde Hospital Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
| Provider Name | Maverick County Hospital District |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548275126 PECOS PAC ID: 2466369061 Enrollment ID: O20051201000817 |
| Provider Name | Access Podiatry Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225688583 PECOS PAC ID: 5799112132 Enrollment ID: O20200225002259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Cannon, DPM 402 E Zavala St Ste 3, Crystal City, TX 78839-3337 Ph: (830) 448-5188 | Dr Michael Cannon, DPM 402 E Zavala St, Crystal City, TX 78839-3337 Ph: (720) 252-7546 |
Access Podiatry Center, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 402 E Zavala St Ste 3, Crystal City, TX 78839 Phone: 830-448-5188 Fax: 830-768-9248 |