David Gannon Dpm Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Berlin, Maryland. Their current practice location is
9956 N Main St, Suite #5, Berlin, Maryland. You can reach out to their office (for appointments etc.) via phone at
(410) 629-0222.
David Gannon Dpm Llc is licensed to practice in Maryland (license number 01311) and it also participates in the medicare program. David Gannon Dpm Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861415200.
Healthcare Provider's Profile
Full Name | David Gannon Dpm Llc |
---|
Type | Facility |
---|
Speciality | Podiatrist - Foot & Ankle Surgery |
---|
Location | 9956 N Main St, Berlin, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861415200
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 5294822433
- Enrollment ID: O20071105000090
Medical Identifiers
Medical identifiers for David Gannon Dpm Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861415200 | NPI | - | NPPES |
4150953-00 | Medicaid | MD | |
DN7994 | Other | MD | RAIL ROAD MEDICARE GROUP PTAN |
6031730001 | Other | | DME |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01311 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
David Gannon Dpm Llc acts as a billing entity for following providers:
Provider Name | David Gannon |
---|
Provider Type | Practitioner - Podiatry |
---|
Provider Identifiers | NPI Number: 1376521492 PECOS PAC ID: 9931296175 Enrollment ID: I20071105000083 |
---|
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
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 |
David Gannon Dpm Llc 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 | David Gannon Dpm Llc 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 |
Reviews and Comments