Dr Mary Gannett, MD in Fairbanks, AK

Dr Mary Gannett, MD is a medicare enrolled "Pediatrics" physician in Fairbanks, Alaska. Her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3520.

Dr Mary Gannett is licensed to practice in Alaska (license number 4081) 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 1750356747.

Contact Information

	Dr Mary Gannett, MD
	1001 Noble St, Fairbanks, AK 99701-4922
	(907) 459-3520
	(907) 459-3554

Map and Direction

Physician's Profile

Full Name	Dr Mary Gannett
Gender	Female
Speciality	Pediatrics
Location	1001 Noble St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750356747
Provider Enumeration Date: 02/22/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9335151893
Enrollment ID: I20060627000096

Medical Identifiers

Medical identifiers for Dr Mary Gannett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750356747	NPI	-	NPPES
1009362	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4081 (Alaska)	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. Dr Mary Gannett allows following entities to bill medicare on her behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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 Mary Gannett 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 Mary Gannett, MD 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3500	Dr Mary Gannett, MD 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3520

Reviews and Comments

Pediatrics Doctors in Fairbanks, AK

Dr. James Timothy Foote, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Marvin Bergeson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Laura Brunner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Mishelle Nace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Corneliu Antonescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. John Matthew De Pasquale, MD, MPH, DTM&H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Manal Shihadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701 Phone: 907-374-2637 Fax: 907-374-2632

Dr Mary Gannett, MD - Medicare Pediatrics in Fairbanks, AK