Dr Michael Cannon, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Crystal City, Texas. He went to Barry University School Of Podiatric Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Maverick County Hospital District and his current practice location is
402 E Zavala St, Crystal City, Texas. You can reach out to his office (for appointments etc.) via phone at
(720) 252-7546.
Dr Michael Cannon is licensed to practice in Texas (license number 2169) 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 1922494673.
Healthcare Provider's Profile
Full Name | Dr Michael Cannon |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 12 Years |
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Location | 402 E Zavala St, Crystal City, Texas |
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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 Cannon attended and graduated from Barry University School Of Podiatric Medicine in 2012
NPI Data:
- NPI Number: 1922494673
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 04/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880902782
- Enrollment ID: I20150925001446
Medical Identifiers
Medical identifiers for Dr Michael Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922494673 | NPI | - | NPPES |
3520348-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 2169 (Texas) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 2169 (Texas) | Primary |
Medical Facilities Affiliation
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 Cannon allows following entities to bill medicare on his behalf.
Provider Name | United Medical Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
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Provider Name | Maverick County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548275126 PECOS PAC ID: 2466369061 Enrollment ID: O20051201000817 |
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Provider Name | Access Podiatry Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1225688583 PECOS PAC ID: 5799112132 Enrollment ID: O20200225002259 |
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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 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 Cannon, DPM 402 E Zavala St, Ste 3, Crystal City, TX 78839-3337 Ph: (720) 252-7546 | Dr Michael Cannon, DPM 402 E Zavala St, Crystal City, TX 78839-3337 Ph: (720) 252-7546 |
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