Dr Tara Gannon, DPT in Ardmore, PA - Medicare Physical Therapist Provider

Dr Tara Gannon, DPT is a medicare enrolled "Physical Therapist" provider in Ardmore, Pennsylvania. Her current practice location is 233 E Lancaster Ave, Suite 100, Ardmore, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 642-4494.

Dr Tara Gannon is licensed to practice in Pennsylvania (license number PT024485) 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 1467838466.

Contact Information

	Dr Tara Gannon, DPT
	233 E Lancaster Ave, Suite 100, Ardmore, PA 19003-2321
	(610) 642-4494
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Gannon
Gender	Female
Speciality	Physical Therapist
Location	233 E Lancaster Ave, Ardmore, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467838466
Provider Enumeration Date: 08/03/2015
Last Update Date: 08/03/2015

Medicare PECOS Information:

PECOS PAC ID: 9830443696
Enrollment ID: I20181114000181

Medical Identifiers

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

Identifier	Type	State	Issuer
1467838466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT024485 (Pennsylvania)	Primary

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. Dr Tara Gannon allows following entities to bill medicare on her behalf.

Provider Name	Pennsylvania Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529

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. Dr Tara 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
Dr Tara Gannon, DPT 1901 Greenhill Rd, Lansdowne, PA 19050-1011 Ph: () -	Dr Tara Gannon, DPT 233 E Lancaster Ave, Suite 100, Ardmore, PA 19003-2321 Ph: (610) 642-4494

Reviews and Comments

Physical Therapist in Ardmore, PA

Mrs. Desirae Urban, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218
Bounce Back Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Rittenhouse Pl, Ardmore, PA 19003 Phone: 484-282-0660 Fax: 484-282-0666
Hilary Park, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218
Andrew Bacon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491
Cassidy Jameson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491
Kayla Martin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218
Michael F Horne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Pont Reading Rd, Ardmore, PA 19003 Phone: 610-664-6464

Dr Tara Gannon, DPT - Medicare Physical Therapist in Ardmore, PA