Dr Mary Gannett, MD - Medicare Pediatrics in Fairbanks, AK

Dr Mary Gannett, MD is a medicare enrolled "Pediatrics" physician in Fairbanks, Alaska. Her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3520.

Dr Mary Gannett is licensed to practice in Alaska (license number 4081) 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 1750356747.

Contact Information

Dr Mary Gannett, MD
1001 Noble St,
Fairbanks, AK 99701-4922
(907) 459-3520
(907) 459-3554

Map and Direction




Physician's Profile

Full NameDr Mary Gannett
GenderFemale
SpecialityPediatrics
Location1001 Noble St, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750356747
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335151893
  • Enrollment ID: I20060627000096

Medical Identifiers

Medical identifiers for Dr Mary Gannett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750356747NPI-NPPES
1009362MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4081 (Alaska)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 Mary Gannett allows following entities to bill medicare on her behalf.
Entity NameTanana Valley Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991

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 Mary Gannett 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 AddressPractice Location Address
Dr Mary Gannett, MD
1001 Noble St,
Fairbanks, AK 99701-4922

Ph: (907) 459-3500
Dr Mary Gannett, MD
1001 Noble St,
Fairbanks, AK 99701-4922

Ph: (907) 459-3520

Reviews and Comments


Pediatrics Doctors in Fairbanks, AK

Dr. James Timothy Foote, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. Marvin Bergeson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3526
Dr. Laura Brunner, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3526
Dr. Mishelle Nace, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. Corneliu Antonescu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. John Matthew De Pasquale, MD, MPH, DTM&H
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Manal Shihadeh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701
Phone: 907-374-2637    Fax: 907-374-2632

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.