David Gannon, Dpm, Llc is a
Podiatrist based in Ocean View, Delaware. David Gannon, Dpm, Llc is licensed to practice in Delaware (license number E1-0000205) and their current practice location is
96 Atlantic Ave, Unit #3, Ocean View, Delaware. It can be reached at their office (for appointments etc.) via phone at
(410) 629-0222.
NPI number for David Gannon, Dpm, Llc is 1639501513 and their current mailing address is 9956 N Main St, Suite #5, Berlin, Maryland. David Gannon, Dpm, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639501513.
Healthcare Provider's Profile
| Full Name | David Gannon, Dpm, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
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| Location | 96 Atlantic Ave, Ocean View, Delaware |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639501513
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 08/02/2013
Medical Identifiers
Medical identifiers for David Gannon, Dpm, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639501513 | NPI | - | NPPES |
| E1-0000205 | Other | DE | DELAWARE LICENSE |
| 1861415200 | Medicaid | DE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | E1-0000205 (Delaware) | 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. David Gannon, Dpm, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
David Gannon, Dpm, Llc 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 | David Gannon, Dpm, Llc 96 Atlantic Ave, Unit #3, Ocean View, DE 19970-9103 Ph: (410) 629-0222 |
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