Mr Ronald John Gammon, CADCIII CCS is a
Counselor - Addiction (substance Use Disorder) based in Meguon, Wisconsin. Mr Ronald John Gammon is licensed to practice in Wisconsin (license number 2136) and his current practice location is
North Shore Center, 10303 N Port Washington Rd Sq 203, Meguon, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 241-5955.
NPI number for Mr Ronald John Gammon is 1760540405 and his current mailing address is North Shore Center, 10303 N Port Washington Rd Sq 203, Meguon, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760540405.
Healthcare Provider's Profile
Full Name | Mr Ronald John Gammon |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | North Shore Center, Meguon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760540405
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ronald John Gammon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760540405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2136 (Wisconsin) | 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. Mr Ronald John Gammon 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 |
Mr Ronald John Gammon, CADCIII CCS North Shore Center, 10303 N Port Washington Rd Sq 203, Meguon, WI 53092 Ph: (262) 241-5955 | Mr Ronald John Gammon, CADCIII CCS North Shore Center, 10303 N Port Washington Rd Sq 203, Meguon, WI 53092 Ph: (262) 241-5955 |
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