Dr Michael J Cannon, DO - Medicare Obstetrics/gynecology in Twin Falls, ID

Dr Michael J Cannon, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Twin Falls, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2001 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice St Lukes Clinic Llc and his current practice location is 801 Pole Line Rd W Ste 3880, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-8500.

Dr Michael J Cannon is licensed to practice in Idaho (license number O-0398) 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 1033131495.

Contact Information

Dr Michael J Cannon, DO
801 Pole Line Rd W Ste 3880,
Twin Falls, ID 83301-5811
(208) 814-8500
(208) 933-9635



Physician's Profile

Full NameDr Michael J Cannon
GenderMale
SpecialityObstetrics/gynecology
Experience23 Years
Location801 Pole Line Rd W Ste 3880, Twin Falls, Idaho
Accepts Medicare AssignmentsYes. 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 J Cannon attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2001
  NPI Data:
  • NPI Number: 1033131495
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 10/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486659307
  • Enrollment ID: I20060928000266

Medical Identifiers

Medical identifiers for Dr Michael J Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033131495NPI-NPPES
807489600MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology O-0398 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Magic Valley Medical CenterTwin falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic Llc1052217478297

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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 J Cannon allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710156922
PECOS PAC ID: 1850209420
Enrollment ID: O20040325001015

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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 J 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 Michael J Cannon, DO
801 Pole Line Rd W Ste 3880,
Twin Falls, ID 83301-5811

Ph: (082) 814-8500
Dr Michael J Cannon, DO
801 Pole Line Rd W Ste 3880,
Twin Falls, ID 83301-5811

Ph: (208) 814-8500

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Obstetrics & Gynecology Doctors in Twin Falls, ID

Bradley Meyer,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-8500    
David C Allen, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301
Phone: 208-814-8500    Fax: 208-734-4143
Laura M Fall, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301
Phone: 208-814-8500    Fax: 208-814-8596
Dr. Susan M Marzolf, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301
Phone: 208-814-8500    
Darren W Coleman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301
Phone: 208-814-8500    Fax: 208-734-4143
Dr. Matthew H Packham, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301
Phone: 208-814-8500    Fax: 208-734-4143

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