| Dr David P Gannon Jr, MD | |
|
68 N Main St, Carver, MA 02330-1128 | |
| (508) 747-7246 | |
| (508) 747-7256 |
| Full Name | Dr David P Gannon Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 45 Years |
| Location | 68 N Main St, Carver, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518966472 | NPI | - | NPPES |
| AA124352 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| 3001091 | Medicaid | MA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| On Demand Anesthesia Llc | 0042675662 | 19 |
| Icon Anesthesia Services Of New England Llc | 2668732041 | 51 |
| Jjm Medical Services Pc | 6800950312 | 38 |
| Cape Cod Pain Management, Pc | 9638163785 | 2 |
| Entity Name | Cape Cod Pain Management, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073566410 PECOS PAC ID: 9638163785 Enrollment ID: O20040412001141 |
| Entity Name | South Suburban Gastroenterology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114948478 PECOS PAC ID: 9931194412 Enrollment ID: O20040415000288 |
| Entity Name | Anesthesia Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346443 PECOS PAC ID: 0042297582 Enrollment ID: O20040702000303 |
| Entity Name | Atlantic Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700061652 PECOS PAC ID: 9638255300 Enrollment ID: O20080320000208 |
| Entity Name | Jjm Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952548265 PECOS PAC ID: 6800950312 Enrollment ID: O20090128000435 |
| Entity Name | East Pond Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1659509164 PECOS PAC ID: 1052450533 Enrollment ID: O20091121000061 |
| Entity Name | Icon Anesthesia Services Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20180202001023 |
| Entity Name | Gbaa Holdings Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790299592 PECOS PAC ID: 4789944646 Enrollment ID: O20180214001714 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
| Entity Name | On Demand Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639865728 PECOS PAC ID: 0042675662 Enrollment ID: O20230503001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David P Gannon Jr, MD 68 N Main St Ste A125, Carver, MA 02330-1128 Ph: (508) 747-7246 | Dr David P Gannon Jr, MD 68 N Main St, Carver, MA 02330-1128 Ph: (508) 747-7246 |