Carl Gannon, PA in Everett, WA - Medicare Nurse Practitioner

Carl Gannon, PA is a medicare enrolled "Nurse Practitioner - Family" in Everett, Washington. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services- Washington and his current practice location is 12800 Bothell Everett Hwy, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 316-5180.

Carl Gannon is licensed to practice in Washington (license number AP60628896) 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 1053668335.

Contact Information

	Carl Gannon, PA
	12800 Bothell Everett Hwy, Everett, WA 98208-6642
	(425) 316-5180
	Not Available

Map and Direction

Provider's Profile

Full Name	Carl Gannon
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	12800 Bothell Everett Hwy, Everett, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carl Gannon graduated from nursing school in 2004

NPI Data:

NPI Number: 1053668335
Provider Enumeration Date: 08/06/2012
Last Update Date: 05/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8729228531
Enrollment ID: I20160714000477

Medical Identifiers

Medical identifiers for Carl Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053668335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	22398 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	22998 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60628896 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Hospice And Home Care Of Snohomish Co	Everett, WA	Home health agency
Providence Regional Medical Center Everett	Everett, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services- Washington	8325100480	420

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. Carl Gannon allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Providence Health & Services- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

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. Carl 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
Carl Gannon, PA Po Box 3360, Portland, OR 97208-3360 Ph: () -	Carl Gannon, PA 12800 Bothell Everett Hwy, Everett, WA 98208-6642 Ph: (425) 316-5180

Reviews and Comments

Nurse Practitioner Nurses in Everett, WA

Rita A Kostelik, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1728 W Marine View Dr Ste 6, Everett, WA 98201 Phone: 425-339-5453 Fax: 425-252-4441
Mr. Walter Akwo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10710 Evergreen Way Apt G207, Everett, WA 98204 Phone: 408-806-3840
Catherine D Norton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Pacific Ave Ste 501, Everett, WA 98201 Phone: 425-258-7550
Doreen Yumang-ross, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200
Desiree Ballesteros, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 130th St Se, Everett, WA 98208 Phone: 425-224-8200
Morgan L Russell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Pacific Ave Ste 500, Everett, WA 98201 Phone: 425-339-5430
Ms. Barbara Jean Scott, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1721 Hewitt Avenue, Suite 501, Everett, WA 98201 Phone: 425-258-9779 Fax: 425-258-5469

Carl Gannon, PA - Medicare Nurse Practitioner in Everett, WA