Dr Timothy Gannon, MD in Colorado Springs, CO - Medicare Psychiatry & Neurology

Dr Timothy Gannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Colorado Springs, Colorado. His current practice location is 559 Vincent St Bldg 725, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 556-7804.

Dr Timothy Gannon is licensed to practice in Ohio (license number 35082873) 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 1508952847.

Contact Information

	Dr Timothy Gannon, MD
	559 Vincent St Bldg 725, Colorado Springs, CO 80914-1541
	(719) 556-7804
	(719) 556-7399

Map and Direction

Physician's Profile

Full Name	Dr Timothy Gannon
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	559 Vincent St Bldg 725, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508952847
Provider Enumeration Date: 10/05/2006
Last Update Date: 02/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0042101875
Enrollment ID: I20130110000199

Medical Identifiers

Medical identifiers for Dr Timothy Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508952847	NPI	-	NPPES
000000346010	Other	OH	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	35082873 (Ohio)	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 Timothy Gannon allows following entities to bill medicare on his behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	County Of Humboldt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871676213 PECOS PAC ID: 4082516950 Enrollment ID: O20040121001146

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 Timothy 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 Timothy Gannon, MD 9650 Fresh Air Dr, Colorado Springs, CO 80924-2088 Ph: (719) 556-7804	Dr Timothy Gannon, MD 559 Vincent St Bldg 725, Colorado Springs, CO 80914-1541 Ph: (719) 556-7804

Reviews and Comments

Psychiatry & Neurology Doctors in Colorado Springs, CO

Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506
William B. Scholten, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 875 W. Moreno Ave., Colorado Springs, CO 80905 Phone: 719-572-6424
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870
Dr. Michelle Louise Raphael, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301
William Tyler Stone, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860
Dr. Abdurahman Said Elkhetali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 700, Colorado Springs, CO 80909 Phone: 719-365-7300 Fax: 719-365-7301

Dr Timothy Gannon, MD - Medicare Psychiatry & Neurology in Colorado Springs, CO