Sean P Gannutz, PA-C is a medicare enrolled "Physician Assistant" in Rogersville, Missouri. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Rockbridge Area Free Clinic and his current practice location is
151 Johnstown Dr, Rogersville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 269-2252.
Sean P Gannutz is licensed to practice in Missouri (license number 2015032410) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174993711.
Provider's Profile
| Full Name | Sean P Gannutz |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 151 Johnstown Dr, Rogersville, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sean P Gannutz graduated from nursing school in 2014
NPI Data:
- NPI Number: 1174993711
- Provider Enumeration Date: 09/25/2015
- Last Update Date: 10/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739498130
- Enrollment ID: I20201013002790
Medical Identifiers
Medical identifiers for Sean P Gannutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174993711 | NPI | - | NPPES |
| PENDING | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2015032410 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rockbridge Area Free Clinic | 2860626231 | 13 |
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. Sean P Gannutz 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 |
|---|
Sean P Gannutz, PA-C
Po Box 4046,
Springfield, MO 65808-4046
Ph: (417) 269-5712 | Sean P Gannutz, PA-C
151 Johnstown Dr,
Rogersville, MO 65742-9366
Ph: (417) 269-2252 |
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