Katherine Gannon, is a medicare enrolled "Counselor - Mental Health" provider in Tranquility, New Jersey. Her current practice location is
33 Kennedy Road, Suite 33a, Tranquility, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 914-7866.
Katherine Gannon is licensed to practice in New Jersey (license number 37AC00532800) 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 1780354456.
Healthcare Provider's Profile
Full Name | Katherine Gannon |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 33 Kennedy Road, Tranquility, New Jersey |
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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: 1780354456
- Provider Enumeration Date: 09/15/2021
- Last Update Date: 08/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133571052
- Enrollment ID: I20240116004634
Medical Identifiers
Medical identifiers for Katherine Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780354456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 37AC00532800 (New Jersey) | Primary |
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. Katherine Gannon allows following entities to bill medicare on her behalf.
Entity Name | Human First Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497479810 PECOS PAC ID: 5799145082 Enrollment ID: O20230718003552 |
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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. Katherine 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 |
Katherine Gannon, 33 Kennedy Road, Suite 33a, Tranquility, NJ 07879 Ph: (973) 262-0868 | Katherine Gannon, 33 Kennedy Road, Suite 33a, Tranquility, NJ 07879 Ph: (908) 914-7866 |
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