Gary Fannon, PA - Medicare Physician Assistant in Flint, MI

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Gary Fannon, PA is a medicare enrolled "Physician Assistant - Medical" in Flint, Michigan. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Legacy Physician Group Pc and his current practice location is 1 Hurley Plz, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 262-9683.

Gary Fannon is licensed to practice in * (Not Available) (license number ) 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 1447512819.

Contact Information

Gary Fannon, PA
1 Hurley Plz,
Flint, MI 48503-5902
(810) 262-9683
(810) 760-0440

Map and Direction




Provider's Profile

Full NameGary Fannon
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location1 Hurley Plz, Flint, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary Fannon graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1447512819
  • Provider Enumeration Date: 06/12/2012
  • Last Update Date: 06/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1759537202
  • Enrollment ID: I20120815000813

Medical Identifiers

Medical identifiers for Gary Fannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447512819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Physician Group Pc064827783011

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. Gary Fannon allows following entities to bill medicare on his behalf.
Entity NameEpmg of Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386688992
PECOS PAC ID: 4789596339
Enrollment ID: O20040211000686
Entity NameEmergency Department Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225083595
PECOS PAC ID: 9436048998
Enrollment ID: O20040312000466
Entity NameHurley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881620748
PECOS PAC ID: 2961308481
Enrollment ID: O20041011000473
Entity NameLegacy Physician Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801800719
PECOS PAC ID: 0648277830
Enrollment ID: O20061101000048
Entity NamePpsmg Urgent Medical Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704680
PECOS PAC ID: 9234362005
Enrollment ID: O20140501000412
Entity NameEcs Central Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711930
PECOS PAC ID: 9931462132
Enrollment ID: O20180423001965

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. Gary Fannon 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 AddressPractice Location Address
Gary Fannon, PA
1 Hurley Plz,
Flint, MI 48503-5902

Ph: (810) 262-9683		Gary Fannon, PA
1 Hurley Plz,
Flint, MI 48503-5902

Ph: (810) 262-9683

Reviews and Comments


Physician Assistant Nurses in Flint, MI

Aleesha Kilbreath, PA-C
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Phone: 810-762-7038    Fax: 810-760-0440
Francis C Wells, PA-C
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Practice Location: 1 Hurley Plz, Flint, MI 48503
Phone: 810-262-9000    
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Practice Location: 1 Hurley Plz, Flint, MI 48503
Phone: 810-262-9429    Fax: 810-262-9104
Alexsis M Parks, PA
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Phone: 810-262-6744    
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Phone: 810-235-2004    
Alison Guzzardo, PA-C
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Practice Location: 1230 S Linden Rd Ste 3a, Flint, MI 48532
Phone: 810-672-1946    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.