Dr David Gannon, DPM is a medicare enrolled "Podiatrist" provider in Berlin, Maryland. He went to New York College Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Atlantic General Hospital Corporation and his current practice location is
9956 N Main St, Suite #5, Berlin, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 629-0222.
Dr David Gannon is licensed to practice in Maryland (license number 01311) 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 1376521492.
Healthcare Provider's Profile
| Full Name | Dr David Gannon |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 9956 N Main St, Berlin, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Gannon attended and graduated from New York College Of Podiatric Medicine in 1996
NPI Data:
- NPI Number: 1376521492
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931296175
- Enrollment ID: I20071105000083
Medical Identifiers
Medical identifiers for Dr David Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376521492 | NPI | - | NPPES |
| E1-0000205 | Other | DE | STATE LICENSE |
| 3494004-00 | Medicaid | MD | |
| 6031730002 | Other | DE | DME |
| P00639639 | Other | MD | RAIL ROAD MEDICARE - INDIVIDUAL PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | E1-0000205 (Delaware) | Secondary |
| 213E00000X | Podiatrist | 01311 (Maryland) | Primary |
Medical Facilities Affiliation
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 David Gannon allows following entities to bill medicare on his behalf.
| Provider Name | Atlantic General Hospital Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871582171
PECOS PAC ID: 2365437837
Enrollment ID: O20040415000939 |
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| Provider Name | David Gannon Dpm Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861415200
PECOS PAC ID: 5294822433
Enrollment ID: O20071105000090 |
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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 David 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 David Gannon, DPM
9956 N Main St, Suite #5,
Berlin, MD 21811-1077
Ph: (410) 629-0222 | Dr David Gannon, DPM
9956 N Main St, Suite #5,
Berlin, MD 21811-1077
Ph: (410) 629-0222 |
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