Sandra M Gannon, LISW is a medicare enrolled "Social Worker - Clinical" provider in North English, Iowa. Her current practice location is
103 South Main Street, North English, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 664-3333.
Sandra M Gannon is licensed to practice in Iowa (license number 00590) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770562613
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 06/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901883040
- Enrollment ID: I20040706001337
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
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 |
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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