Dr Mary L Cannon, MD - Radiology in Morgantown, WV

Dr Mary L Cannon, MD is a Radiology - Diagnostic Radiology physician based in Morgantown, West Virginia. Dr Mary L Cannon is licensed to practice in West Virginia (license number 20506) and her current practice location is 101 Stadium Dr, Morgantown, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 598-4000.

NPI number for Dr Mary L Cannon is 1679532592 and her current mailing address is Po Box 897, Morgantown, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679532592.

Contact Information

Dr Mary L Cannon, MD
101 Stadium Dr,
Morgantown, WV 26506-7911
(304) 598-4000
(304) 293-6963



Physician's Profile

Full NameDr Mary L Cannon
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location101 Stadium Dr, Morgantown, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679532592
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 02/08/2021

Medical Identifiers

Medical identifiers for Dr Mary L Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679532592NPI-NPPES
1807576000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 20506 (West Virginia)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 Mary L Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mary L Cannon, MD
Po Box 897,
Morgantown, WV 26507-0897

Ph: (304) 293-7401
Dr Mary L Cannon, MD
101 Stadium Dr,
Morgantown, WV 26506-7911

Ph: (304) 598-4000

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› Verified 2 days ago


Radiology Doctors in Morgantown, WV

Robert Grammer,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 304-598-4000    
Brian Markovich, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 304-293-3091    
Mithra Kimyai-asadi, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Stadium Dr, Morgantown, WV 26506
Phone: 304-293-2463    
Dr. Gary D Marano, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Stadium Dr, Morgantown, WV 26506
Phone: 304-598-4000    Fax: 304-293-6963
Larissa Casaburi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 6040 University Town Centre Dr, Morgantown, WV 26501
Phone: 304-293-6307    
Dr. Robert J Tallaksen, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Stadium Dr, Morgantown, WV 26506
Phone: 304-598-4000    Fax: 304-293-6963
Zalak Patel,
Radiology
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 304-293-2463    Fax: 304-293-5160

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