Suzanne Renee Gannon, is a medicare enrolled "Physician Assistant" physician in Beaufort, South Carolina. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
955 Ribaut Rd, Beaufort, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 522-5101.
Suzanne Renee Gannon is licensed to practice in Ohio (license number 50.008185RX) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1447911383.
Physician's Profile
| Full Name | Suzanne Renee Gannon |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 2 Years |
|---|
| Location | 955 Ribaut Rd, Beaufort, South Carolina |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Suzanne Renee Gannon graduated from medical school in 2023
NPI Data:
- NPI Number: 1447911383
- Provider Enumeration Date: 01/03/2022
- Last Update Date: 03/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173985009
- Enrollment ID: I20250507001137
Medical Identifiers
Medical identifiers for Suzanne Renee Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447911383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 50.008185RX (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 50.008185RX (Ohio) | Primary |
Medical Facilities Affiliation
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. Suzanne Renee 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 |
|---|
Suzanne Renee Gannon,
955 Ribaut Rd,
Beaufort, SC 29902-5441
Ph: () - | Suzanne Renee Gannon,
955 Ribaut Rd,
Beaufort, SC 29902-5454
Ph: (843) 522-5101 |
Reviews and Comments