Megan Chardell Gannon, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Marshfield, Wisconsin. Her current practice location is
1000 N Oak Ave, Marshfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 387-5511.
Megan Chardell Gannon is licensed to practice in Wisconsin (license number 81627) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104500644
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880135201
- Enrollment ID: I20240925000585
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
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 |
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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