Carol A Gannon, APN in Greeley, CO - Medicare Nurse Practitioner

Carol A Gannon, APN is a medicare enrolled "Nurse Practitioner - Family" in Greeley, Colorado. Her current practice location is 6801 W 20th St Unit 101, Greeley, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 378-8000.

Carol A Gannon is licensed to practice in Colorado (license number APN.0002761-NP) 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 1538330113.

Contact Information

	Carol A Gannon, APN
	6801 W 20th St Unit 101, Greeley, CO 80634-9640
	(970) 378-8000
	(970) 378-8088

Map and Direction

Provider's Profile

Full Name	Carol A Gannon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6801 W 20th St Unit 101, Greeley, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538330113
Provider Enumeration Date: 03/21/2008
Last Update Date: 04/28/2020

Medicare PECOS Information:

PECOS PAC ID: 2365450053
Enrollment ID: I20060322000180

Medical Identifiers

Medical identifiers for Carol A Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538330113	NPI	-	NPPES
73426547	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN.0116733 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	RXN.0099175-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	APN.0002761-NP (Colorado)	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. Carol A Gannon allows following entities to bill medicare on her behalf.

Entity Name	Family Physicians Of Greeley Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649244591 PECOS PAC ID: 0143115691 Enrollment ID: O20040216000502

Entity Name	Columbine Management Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386989200 PECOS PAC ID: 7315020674 Enrollment ID: O20130502000442

Entity Name	Optumcare Colorado Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413

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. Carol A 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
Carol A Gannon, APN 6801 W 20th St Unit 101, Greeley, CO 80634-9640 Ph: (970) 378-8000	Carol A Gannon, APN 6801 W 20th St Unit 101, Greeley, CO 80634-9640 Ph: (970) 378-8000

Reviews and Comments

Nurse Practitioner Nurses in Greeley, CO

Brittany Grounds, AGACNP - BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6810 10th St, Greeley, CO 80634 Phone: 970-425-6770
Karla Dawn Ornelas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2410 W 16th St, Greeley, CO 80634 Phone: 970-810-3988 Fax: 970-810-3989
Dorothy Marie Schulte, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 23rd Ave, Greeley, CO 80634 Phone: 970-356-2424 Fax: 970-346-2828
Melissa Rae Dellinger, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 35th Ave, Greeley, CO 80634 Phone: 970-810-4155
Mr. Luke Patrick Roddy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 38th Ave Ste A, Greeley, CO 80634 Phone: 970-888-0399 Fax: 833-499-1782
Beth Ann Ramsey, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4800 W 25th St, Greeley, CO 80634 Phone: 970-674-0079 Fax: 970-419-4780
Kelly Beth Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6801 W 20th St Unit 101, Greeley, CO 80634 Phone: 970-378-8000

Carol A Gannon, APN - Medicare Nurse Practitioner in Greeley, CO