Dr Thomas Milton Gannon, DO | |
404 N Willow Ave, Cookeville, TN 38501 | |
(931) 854-9393 | |
(931) 233-2449 |
Full Name | Dr Thomas Milton Gannon |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 20 Years |
Location | 404 N Willow Ave, Cookeville, Tennessee |
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 |
---|---|---|---|
1548419310 | NPI | - | NPPES |
1509705 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 1785 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia School Of Osteopathic Medicine Clinic Inc | 0941113427 | 30 |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
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 |
Quoc P Tran, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 851 S Willow Ave Ste 112, Cookeville, TN 38501 Phone: 931-854-9261 | |
Dr. Richard Irwin Williams, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 315 N Washington Ave, Suite 150, Cookeville, TN 38501 Phone: 800-264-3762 Fax: 615-292-9469 |