Dr Charles Lawrence Cannon, MD - Medicare Internal Medicine in Enid, OK

Dr Charles Lawrence Cannon, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Enid, Oklahoma. His current practice location is 1218 W Willow, Ste A, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 233-2176.

Dr Charles Lawrence Cannon is licensed to practice in Oklahoma (license number 17275) 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 1073519815.

Contact Information

Dr Charles Lawrence Cannon, MD
1218 W Willow, Ste A,
Enid, OK 73703-2534
(580) 233-2176
(580) 233-2179



Physician's Profile

Full NameDr Charles Lawrence Cannon
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location1218 W Willow, Enid, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073519815
  • Provider Enumeration Date: 06/27/2005
  • Last Update Date: 12/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7911902630
  • Enrollment ID: I20061002000092

Medical Identifiers

Medical identifiers for Dr Charles Lawrence Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073519815NPI-NPPES
100007598OtherGARAILROAD MEDICARE
0000OtherOKTRICARE REGION 6
100088540AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 17275 (Oklahoma)Primary

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 Charles Lawrence 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 AddressPractice Location Address
Dr Charles Lawrence Cannon, MD
1218 W Willow Rd, Ste A,
Enid, OK 73703-2534

Ph: (580) 233-2176
Dr Charles Lawrence Cannon, MD
1218 W Willow, Ste A,
Enid, OK 73703-2534

Ph: (580) 233-2176

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Internal Medicine Doctors in Enid, OK

Daniel Dean Washburn, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 615 E Oklahoma Ave Ste 208, Enid, OK 73701
Phone: 580-242-3090    Fax: 580-234-2090
Dr. Brian D. Whitson, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 620 S Madison St, Suite 209, Enid, OK 73701
Phone: 580-213-9741    Fax: 580-213-9740
Sarah Beth Matousek-fraser, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 620 S Madison St Ste 209, Enid, OK 73701
Phone: 580-977-1864    Fax: 580-977-1865
Christopher A Shearer, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 915 E Garriott Rd, Suite C, Enid, OK 73701
Phone: 580-234-6425    Fax: 580-234-5176
David James Shepherd Jr., MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 721 W Broadway Ave Ste D, Enid, OK 73701
Phone: 580-237-0322    Fax: 580-233-0402
Sumbal Nabi, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 600 S Monroe St, Enid, OK 73701
Phone: 580-977-1950    Fax: 580-977-1949

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