Mr Mark Robert Gannon, PT in Oak Brook, IL - Medicare Physical Therapy Provider

Mr Mark Robert Gannon, PT is a medicare enrolled "Physical Therapist" provider in Oak Brook, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthomidwest Pllc and his current practice location is 2011 York Rd Ste 1500, Oak Brook, Illinois. You can reach out to his office (for appointments etc.) via phone at (877) 632-6637.

Mr Mark Robert Gannon is licensed to practice in Illinois (license number 070024237) 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 1093737397.

Contact Information

	Mr Mark Robert Gannon, PT
	2011 York Rd Ste 1500, Oak Brook, IL 60523
	(877) 632-6637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Robert Gannon
Gender	Male
Speciality	Physical Therapy
Experience	19 Years
Location	2011 York Rd Ste 1500, Oak Brook, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Mark Robert Gannon graduated from medical school in 2005

NPI Data:

NPI Number: 1093737397
Provider Enumeration Date: 07/24/2006
Last Update Date: 06/07/2019

Medicare PECOS Information:

PECOS PAC ID: 0345274445
Enrollment ID: I20190611002171

Medical Identifiers

Medical identifiers for Mr Mark Robert Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093737397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070024237 (Illinois)	Primary
225100000X	Physical Therapist	6877 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthomidwest Pllc	0749183713	384

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. Mr Mark Robert Gannon allows following entities to bill medicare on his behalf.

Provider Name	Midwest Orthopaedics At Rush Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811942451 PECOS PAC ID: 0244143196 Enrollment ID: O20031107000184

Provider Name	Orthomidwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533

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. Mr Mark Robert 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
Mr Mark Robert Gannon, PT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980	Mr Mark Robert Gannon, PT 2011 York Rd Ste 1500, Oak Brook, IL 60523 Ph: (877) 632-6637

Reviews and Comments

Physical Therapist in Oak Brook, IL

Terri Roberts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2625 Butterfield Rd Ste 300s, Oak Brook, IL 60523 Phone: 630-573-1979 Fax: 630-573-1716
Lauren Cairo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 16th St Ste T14, Oak Brook, IL 60523 Phone: 630-572-9700
Meejung Jane Park, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2001 Midwest Rd, Ste 302, Oak Brook, IL 60523 Phone: 630-620-9066 Fax: 630-620-8570
Megan M Bradberry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 16th St, Suite T14, Oak Brook, IL 60523 Phone: 630-572-9700 Fax: 630-572-0706
Noah Lasky, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2011 York Rd Ste 1500, Oak Brook, IL 60523 Phone: 877-632-6637 Fax: 708-409-5179
Dr. Tiffany Chi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2311 W 22nd St Ste 110, Oak Brook, IL 60523 Phone: 630-912-6040
Athletico Phyiscal Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 625 Enterprise Dr, Oak Brook, IL 60523 Phone: 630-575-1980 Fax: 630-928-5080

Mr Mark Robert Gannon, PT - Medicare Physical Therapist in Oak Brook, IL