Dr David Michael Gannon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. His current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 337-4400.
Dr David Michael Gannon is licensed to practice in Michigan (license number 4351051568) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548901580.
Physician's Profile
Full Name | Dr David Michael Gannon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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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: 1548901580
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113307612
- Enrollment ID: I20220630000139
Medical Identifiers
Medical identifiers for Dr David Michael Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548901580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 125.080165 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4351051568 (Michigan) | 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. Dr David Michael 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 |
Dr David Michael Gannon, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1284 Ph: (269) 344-4600 | Dr David Michael Gannon, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 |
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