Patrick Russell Gannon, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mcalester, Oklahoma. He went to Washington University School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mcalester Medical Services Llc and his current practice location is
1 E Clark Bass Blvd, Suite 210, Mcalester, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 421-6987.
Patrick Russell Gannon is licensed to practice in Oklahoma (license number 20652) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790747426.
Physician's Profile
| Full Name | Patrick Russell Gannon |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 33 Years |
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| Location | 1 E Clark Bass Blvd, Mcalester, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick Russell Gannon attended and graduated from Washington University School Of Medicine in 1993
NPI Data:
- NPI Number: 1790747426
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 01/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466453436
- Enrollment ID: I20091218000413
Medical Identifiers
Medical identifiers for Patrick Russell Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790747426 | NPI | - | NPPES |
| 74502A024 | Other | OK | CHAMPUS |
| G67583 | Other | OK | STERLING OPTION 1 |
| 1000176970A | Medicaid | OK | |
| 731310891006 | Other | OK | UNICARE |
| 1324230001 | Other | OK | PALMETTO DME |
| 731310891028 | Other | OK | TRICARE SOUTH |
| 0166707 | Other | OK | UMWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 20652 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mcalester Medical Services Llc | 9931139029 | 21 |
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. Patrick Russell Gannon allows following entities to bill medicare on his behalf.
| Entity Name | Mcalester Regional Health Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316940034
PECOS PAC ID: 6709796436
Enrollment ID: O20040303001042 |
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| Entity Name | Mcalester Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317998
PECOS PAC ID: 9931139029
Enrollment ID: O20050818000234 |
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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. Patrick Russell 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 |
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Patrick Russell Gannon, MD
1245 S Utica Ave, Fl 2,
Tulsa, OK 74104-4214
Ph: (918) 579-2300 | Patrick Russell Gannon, MD
1 E Clark Bass Blvd, Suite 210,
Mcalester, OK 74501-4209
Ph: (918) 421-6987 |
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