Ryan Elizabeth Gannon, PA-C is a medicare enrolled "Physician Assistant" in Saegertown, Pennsylvania. Her current practice location is
401 Main Street, Saegertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 763-1106.
Ryan Elizabeth Gannon is licensed to practice in Pennsylvania (license number MA066103) 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 1215763313.
Provider's Profile
Full Name | Ryan Elizabeth Gannon |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 401 Main Street, Saegertown, Pennsylvania |
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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: 1215763313
- Provider Enumeration Date: 09/13/2024
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567995202
- Enrollment ID: I20241101001920
Medical Identifiers
Medical identifiers for Ryan Elizabeth Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215763313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA066103 (Pennsylvania) | 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. Ryan Elizabeth 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 |
Ryan Elizabeth Gannon, PA-C 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 763-1106 | Ryan Elizabeth Gannon, PA-C 401 Main Street, Saegertown, PA 16433-0846 Ph: (814) 763-1106 |
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