Jason Gannon, DPM - Medicare Podiatrist in Newark, NJ

Jason Gannon, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Newark, New Jersey. He went to New York College Of Podiatric Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Podiatry. His current practice location is 111 Mulberry St, Suite 1r, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 818-9104.

Jason Gannon is licensed to practice in New Jersey (license number 25MD00257500) 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 1619992690.

Contact Information

Jason Gannon, DPM
111 Mulberry St, Suite 1r,
Newark, NJ 07102-4008
(973) 818-9104
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJason Gannon
GenderMale
SpecialityPodiatry
Experience27 Years
Location111 Mulberry St, Newark, New Jersey
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:
  • Jason Gannon attended and graduated from New York College Of Podiatric Medicine in 1997
  NPI Data:
  • NPI Number: 1619992690
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 12/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0648448860
  • Enrollment ID: I20110714000075

Medical Identifiers

Medical identifiers for Jason Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619992690NPI-NPPES
8238502MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery 25MD00257500 (New Jersey)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. Jason 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 AddressPractice Location Address
Jason Gannon, DPM
131 Safran Ave,
Edison, NJ 08837-3205

Ph: (973) 818-9104
Jason Gannon, DPM
111 Mulberry St, Suite 1r,
Newark, NJ 07102-4008

Ph: (973) 818-9104

Reviews and Comments


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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.

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