David Gannon, Dpm, Llc is a medicare enrolled "Podiatrist" provider in Ocean View, Delaware. Their current practice location is
96 Atlantic Ave, Unit #3, Ocean View, Delaware. You can reach out to their office (for appointments etc.) via phone at
(410) 629-0222.
David Gannon, Dpm, Llc is licensed to practice in Delaware (license number E1-0000205) and it also participates in the medicare program. David Gannon, Dpm, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639501513.
Healthcare Provider's Profile
Full Name | David Gannon, Dpm, Llc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 96 Atlantic Ave, Ocean View, Delaware |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639501513
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 08/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 5294822433
- Enrollment ID: O20131001000328
Medical Identifiers
Medical identifiers for David Gannon, Dpm, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639501513 | NPI | - | NPPES |
E1-0000205 | Other | DE | DELAWARE LICENSE |
1861415200 | Medicaid | DE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E1-0000205 (Delaware) | 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. David Gannon, Dpm, Llc 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 |
David Gannon, Dpm, Llc 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 | David Gannon, Dpm, Llc 96 Atlantic Ave, Unit #3, Ocean View, DE 19970-9103 Ph: (410) 629-0222 |
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