Sandra M Gannon, LISW is a
Social Worker - Clinical based in North English, Iowa. Sandra M Gannon is licensed to practice in Iowa (license number 00590) and her current practice location is
103 South Main Street, North English, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 664-3333.
NPI number for Sandra M Gannon is 1770562613 and her current mailing address is P.o. Box 189, 103 South Main Street, North English, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770562613.
Healthcare Provider's Profile
Full Name | Sandra M Gannon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 103 South Main Street, North English, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770562613
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 06/16/2016
Medical Identifiers
Medical identifiers for Sandra M Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770562613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 00590 (Iowa) | 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. Sandra M Gannon 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 |
Sandra M Gannon, LISW P.o. Box 189, 103 South Main Street, North English, IA 52316 Ph: (319) 664-3333 | Sandra M Gannon, LISW 103 South Main Street, North English, IA 52316 Ph: (319) 664-3333 |
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