Ryan Elizabeth Gannon, PA-C is a
Physician Assistant based in Saegertown, Pennsylvania. Ryan Elizabeth Gannon is licensed to practice in Pennsylvania (license number MA066103) and her current practice location is
401 Main Street, Saegertown, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 763-1106.
NPI number for Ryan Elizabeth Gannon is 1215763313 and her current mailing address is 1034 Grove St, Meadville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215763313
- Provider Enumeration Date: 09/13/2024
- Last Update Date: 10/23/2024
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
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 |
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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