Angela Gannon, MD in Jacksonville, NC - Medicare Psychiatry & Neurology

Angela Gannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jacksonville, North Carolina. Her current practice location is 200 Tarpon Trl, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 938-1114.

Angela Gannon is licensed to practice in North Carolina (license number 2018-00436) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740481431.

Contact Information

	Angela Gannon, MD
	200 Tarpon Trl, Jacksonville, NC 28546-5287
	(910) 938-1114
	(910) 938-1118

Map and Direction

Physician's Profile

Full Name	Angela Gannon
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	200 Tarpon Trl, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740481431
Provider Enumeration Date: 05/30/2007
Last Update Date: 10/14/2019

Medicare PECOS Information:

PECOS PAC ID: 3173686284
Enrollment ID: I20181018001727

Medical Identifiers

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

Identifier	Type	State	Issuer
1740481431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	258681 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	092762 (Ohio)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2018-00436 (North Carolina)	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. Angela Gannon allows following entities to bill medicare on her behalf.

Entity Name	Coastal Carolina Neuropsychiatric Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184737462 PECOS PAC ID: 5890794689 Enrollment ID: O20061205000123

Entity Name	Garner Behavioral Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548049679 PECOS PAC ID: 4981072238 Enrollment ID: O20231107001800

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. Angela 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
Angela Gannon, MD 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114	Angela Gannon, MD 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114

Reviews and Comments

Psychiatry & Neurology Doctors in Jacksonville, NC

Dr. Ashraf Gb Mikhail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Tarpon Trail, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Mojeed Akintayo, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114
Miss Sharon Marie Kahler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Dr. Alfredo Ernesto Baker, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39 Office Park Dr Ste A, Jacksonville, NC 28546 Phone: 910-939-0724 Fax: 910-333-9145
Dr. Kenneth Ray Sladkin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 192 Village Dr, Jacksonville, NC 28546 Phone: 910-577-1400
Dr. Paul Thomas Kayye, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 215 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5118 Fax: 910-577-1338
Dr. Antonio Cusi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118

Angela Gannon, MD - Medicare Psychiatry & Neurology in Jacksonville, NC