Dr Patrick Gerard Gannon, DO - Medicare General Practice in Dekalb, IL

Dr Patrick Gerard Gannon, DO is a medicare enrolled "General Practice" physician in Dekalb, Illinois. His current practice location is 626 Bethany Rd, 3251 Commerce Drive, Dekalb, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 756-1521.

Dr Patrick Gerard Gannon is licensed to practice in Illinois (license number ) 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 1720187453.

Contact Information

Dr Patrick Gerard Gannon, DO
626 Bethany Rd, 3251 Commerce Drive,
Dekalb, IL 60115-4939
(815) 756-1521
Not Available

Map and Direction




Physician's Profile

Full NameDr Patrick Gerard Gannon
GenderMale
SpecialityGeneral Practice
Location626 Bethany Rd, Dekalb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720187453
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739107418
  • Enrollment ID: I20090114000384

Medical Identifiers

Medical identifiers for Dr Patrick Gerard Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720187453NPI-NPPES
237087041;651249587OtherILTAX ID NUMBER
021940024;0031940152OtherILBCBS PRVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine (Illinois)Primary
208D00000XGeneral Practice (Illinois)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 Patrick Gerard 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 AddressPractice Location Address
Dr Patrick Gerard Gannon, DO
2807 Brittany Ct,
St Charles, IL 60175-5161

Ph: () -
Dr Patrick Gerard Gannon, DO
626 Bethany Rd, 3251 Commerce Drive,
Dekalb, IL 60115-4939

Ph: (815) 756-1521

Reviews and Comments


General Practice Doctors in Dekalb, IL

Dr. Brian David Lamere, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 518 Lucinda Avenue, Health Services, Northern Illinois University, Dekalb, IL 60115
Phone: 815-753-1311    Fax: 815-753-9599
Dr. John Landis Bowman, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: Health Services, Northern Illinois University, Dekalb, IL 60115
Phone: 815-753-1311    Fax: 815-753-9599

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.