Brandon Gannon, in Elkhorn, NE - Medicare Physical Therapist Provider

Brandon Gannon, is a medicare enrolled "Physical Therapist" provider in Elkhorn, Nebraska. His current practice location is 1405 N 205th St Ste 140, Elkhorn, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 289-5013.

Brandon Gannon is licensed to practice in * (Not Available) (license number ) 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 1962105486.

Contact Information

	Brandon Gannon,
	1405 N 205th St Ste 140, Elkhorn, NE 68022-4740
	(402) 289-5013
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Gannon
Gender	Male
Speciality	Physical Therapist
Location	1405 N 205th St Ste 140, Elkhorn, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962105486
Provider Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 1951769785
Enrollment ID: I20230626003034

Medical Identifiers

Medical identifiers for Brandon Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962105486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

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. Brandon Gannon allows following entities to bill medicare on his behalf.

Provider Name	Rock Valley Physical Therapy Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20211025002983

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. Brandon Gannon 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
Brandon Gannon, 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070	Brandon Gannon, 1405 N 205th St Ste 140, Elkhorn, NE 68022-4740 Ph: (402) 289-5013

Reviews and Comments

Physical Therapist in Elkhorn, NE

Heather L Dempsey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19111 Mason Plz, Elkhorn, NE 68022 Phone: 402-504-9797 Fax: 402-504-9882
Margaret A Weaver, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20650 Glenn St, Elkhorn, NE 68022 Phone: 402-289-2579
Executive Health Solutions, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 21015 Cumberland Dr Ste 201, Elkhorn, NE 68022 Phone: 402-932-5394
Elkhorn Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20289 Wirt St., Elkhorn, NE 68022 Phone: 402-289-3288 Fax: 402-289-2550
Community Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1408 Veterans Drive, Suite 102, Elkhorn, NE 68022 Phone: 402-289-3288 Fax: 402-289-2550
Penni Jo Romero, P.T., M.S Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3460 Piney Creek Dr, Elkhorn, NE 68022 Phone: 402-289-0053
Integrated Pilates And Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19202 Taylor Cir, Elkhorn, NE 68022 Phone: 602-694-1096

Brandon Gannon, - Medicare Physical Therapist in Elkhorn, NE