Suzanne Renee Gannon, is a medicare enrolled "Physician Assistant" physician in Beaufort, South Carolina. 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 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 1447911383.
Physician's Profile
Full Name | Suzanne Renee Gannon |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 955 Ribaut Rd, Beaufort, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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: I20230809003055
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 |
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 |
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