Dr Brian Scott Gannon, MD in Tuscaloosa, AL

Dr Brian Scott Gannon, MD is a medicare enrolled "Pediatrics" physician in Tuscaloosa, Alabama. His current practice location is 850 Peter Bryce Blvd, Tuscaloosa, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 348-1304.

Dr Brian Scott Gannon is licensed to practice in Alabama (license number 32891) 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 1912992678.

Contact Information

	Dr Brian Scott Gannon, MD
	850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419
	(205) 348-1304
	(205) 348-7988

Map and Direction

Physician's Profile

Full Name	Dr Brian Scott Gannon
Gender	Male
Speciality	Pediatrics
Location	850 Peter Bryce Blvd, Tuscaloosa, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912992678
Provider Enumeration Date: 09/19/2005
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6204990336
Enrollment ID: I20140219000100

Medical Identifiers

Medical identifiers for Dr Brian Scott Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912992678	NPI	-	NPPES
3830971	Medicaid	TN
64122582	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	40582 (Kentucky)	Secondary
208000000X	Pediatrics	MD30442 (Tennessee)	Secondary
208000000X	Pediatrics	32891 (Alabama)	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. Dr Brian Scott Gannon allows following entities to bill medicare on his behalf.

Entity Name	Capstone Health Services Foundation Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160

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 Brian Scott 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
Dr Brian Scott Gannon, MD 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 Ph: (205) 348-1304	Dr Brian Scott Gannon, MD 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 Ph: (205) 348-1304

Reviews and Comments

Pediatrics Doctors in Tuscaloosa, AL

Elizabeth Cockrum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-7988
Robert Miller Wright, Pediatrics Medicare: Medicare Enrolled Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770
Keisha Gibson Lowther, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6531 Highway 69 S, Suite A, Tuscaloosa, AL 35405 Phone: 205-343-6979
Courtney Gladwell, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Rice Mine Rd Ne, Tuscaloosa, AL 35406 Phone: 205-614-5628
Raghda Yahya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1060 Fairfax Park, Ste B, Tuscaloosa, AL 35406 Phone: 205-758-6471 Fax: 205-758-6472
Hanseek Choi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406 Phone: 205-333-4656 Fax: 205-333-4660
Dr. Denise N Brown, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4880 Harkey Ln, Tuscaloosa, AL 35406 Phone: 205-333-8222 Fax: 205-333-8233

Dr Brian Scott Gannon, MD - Medicare Pediatrics in Tuscaloosa, AL