Katrina Terese Cannon, MD, MS, CMD - Internal Medicine in Davenport, IA

Katrina Terese Cannon, MD, MS, CMD is a Internal Medicine - Geriatric Medicine physician based in Davenport, Iowa. Katrina Terese Cannon is licensed to practice in Iowa (license number 35725) and her current practice location is 1345 W Central Park Ave, Genesis Family Medicine Center, Davenport, Iowa. She can be reached at her office (for appointments etc.) via phone at (563) 421-4400.

NPI number for Katrina Terese Cannon is 1184734451 and her current mailing address is 1345 W Central Park Ave, Genesis Family Medicine Center, Davenport, Iowa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184734451.

Contact Information

Katrina Terese Cannon, MD, MS, CMD
1345 W Central Park Ave, Genesis Family Medicine Center,
Davenport, IA 52804-1844
(563) 421-4400
(563) 421-4449



Physician's Profile

Full NameKatrina Terese Cannon
GenderFemale
SpecialityInternal Medicine - Geriatric Medicine
Location1345 W Central Park Ave, Davenport, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184734451
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 08/01/2011

Medical Identifiers

Medical identifiers for Katrina Terese Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184734451NPI-NPPES
0732552MedicaidIA
26710OtherIAWELLMARK BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35725 (Iowa)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 35725 (Iowa)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. Katrina Terese 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
Katrina Terese Cannon, MD, MS, CMD
1345 W Central Park Ave, Genesis Family Medicine Center,
Davenport, IA 52804-1844

Ph: (563) 421-4400
Katrina Terese Cannon, MD, MS, CMD
1345 W Central Park Ave, Genesis Family Medicine Center,
Davenport, IA 52804-1844

Ph: (563) 421-4400

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Internal Medicine Doctors in Davenport, IA

Dr. Humphrey Wong, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1801 E 54th St, Ste 100, Davenport, IA 52807
Phone: 563-323-1229    Fax: 563-323-8240
Mouhamed Walid Al Sheikha, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2162 W Kimberly Rd, Davenport, IA 52806
Phone: 563-391-1024    Fax: 563-391-1024
Louis M Katz, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1351 W Central Park Ave, Davenport, IA 52804
Phone: 563-421-4244    Fax: 563-421-4285
Catherine L Weideman, MD
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804
Phone: 563-421-4620    Fax: 563-421-4625
Dr. Eric J Dippel, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3385 Dexter Ct Ste 100, Davenport, IA 52807
Phone: 563-324-3818    Fax: 563-326-4280
Sami Faruqui, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1970 E 53rd St, Davenport, IA 52807
Phone: 563-359-3949    Fax: 563-355-1159
Dr. Akshay Kantilal Mahadevia, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3385 Dexter Ct Ste 102, Davenport, IA 52807
Phone: 563-323-1352    Fax: 855-274-1654

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