Mr Joseph M Cannon, MD in Athens, AL - Medicare Radiology

Mr Joseph M Cannon, MD is a medicare enrolled "Radiology - Body Imaging" physician in Athens, Alabama. His current practice location is 22281 Us Hwy 72 E, Suite B And C, Athens, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 233-2158.

Mr Joseph M Cannon is licensed to practice in Alabama (license number 7009) 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 1164400842.

Contact Information

	Mr Joseph M Cannon, MD
	22281 Us Hwy 72 E, Suite B And C, Athens, AL 35613
	(256) 233-2158
	(256) 230-6825

Physician's Profile

Full Name	Mr Joseph M Cannon
Gender	Male
Speciality	Radiology - Body Imaging
Location	22281 Us Hwy 72 E, Athens, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164400842
Provider Enumeration Date: 01/04/2006
Last Update Date: 04/22/2009

Medicare PECOS Information:

PECOS PAC ID: 7618945320
Enrollment ID: I20060405000270

Medical Identifiers

Medical identifiers for Mr Joseph M Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164400842	NPI	-	NPPES
515-33320	Other	AL	BLUE CROSS BLUE SHIELD OF AL (VIA: THE HEART CENTER)
CA009904395	Medicaid	AL
09936176	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	7009 (Alabama)	Primary
2085N0700X	Radiology - Neuroradiology	7009 (Alabama)	Secondary
2085P0229X	Radiology - Pediatric Radiology	7009 (Alabama)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	7009 (Alabama)	Secondary
2085R0203X	Radiology - Therapeutic Radiology	7009 (Alabama)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	7009 (Alabama)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	7009 (Alabama)	Secondary

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. Mr Joseph M 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
Mr Joseph M Cannon, MD 22281 Us Hwy 72 E, Suite B And C, Athens, AL 35613 Ph: (256) 233-2158	Mr Joseph M Cannon, MD 22281 Us Hwy 72 E, Suite B And C, Athens, AL 35613 Ph: (256) 233-2158

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Mr Joseph M Cannon, MD - Medicare Radiology in Athens, AL