Megan Chardell Gannon, DO is a
Student In An Organized Health Care Education/training Program physician based in Marshfield, Wisconsin. Megan Chardell Gannon is licensed to practice in Wisconsin (license number 81627) and her current practice location is 1000 N Oak Ave, Marshfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 387-5511.
NPI number for Megan Chardell Gannon is 1104500644 and her current mailing address is 1000 N Oak Ave, Marshfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104500644.
Physician's Profile
Full Name | Megan Chardell Gannon |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 N Oak Ave, Marshfield, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104500644
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 09/12/2024
Medical Identifiers
Medical identifiers for Megan Chardell Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104500644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 100132-851 (Wisconsin) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 81627 (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. Megan Chardell Gannon 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 |
Megan Chardell Gannon, DO 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Megan Chardell Gannon, DO 1000 N Oak Ave, Marshfield, WI 54449-5702 Ph: (715) 387-5511 |
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