Dr Thomas Milton Gannon, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Cookeville, Tennessee. His current practice location is
404 N Willow Ave, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 854-9393.
Dr Thomas Milton Gannon is licensed to practice in Virginia (license number 1785) 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 1548419310.
Physician's Profile
| Full Name | Dr Thomas Milton Gannon |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 404 N Willow Ave, Cookeville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548419310
- Provider Enumeration Date: 09/16/2008
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789744871
- Enrollment ID: I20081119000444
Medical Identifiers
Medical identifiers for Dr Thomas Milton Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548419310 | NPI | - | NPPES |
| 1509705 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1785 (Virginia) | Primary |
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 Thomas Milton 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 Thomas Milton Gannon, DO
404 N Willow Ave,
Cookeville, TN 38501-2339
Ph: (931) 854-9393 | Dr Thomas Milton Gannon, DO
404 N Willow Ave,
Cookeville, TN 38501
Ph: (931) 854-9393 |
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