Dr David Gannon, DPM is a medicare enrolled "Podiatrist" provider in Berlin, Maryland. His current practice location is
9956 N Main St, Suite #5, Berlin, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 629-0222.
Dr David Gannon is licensed to practice in Maryland (license number 01311) 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 1376521492.
Healthcare Provider's Profile
Full Name | Dr David Gannon |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 9956 N Main St, Berlin, Maryland |
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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. |
Medical Education and Training:
- Dr David Gannon attended and graduated from in
NPI Data:
- NPI Number: 1376521492
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376521492 | NPI | - | NPPES |
E1-0000205 | Other | DE | STATE LICENSE |
3494004-00 | Medicaid | MD | |
6031730002 | Other | DE | DME |
P00639639 | Other | MD | RAIL ROAD MEDICARE - INDIVIDUAL PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E1-0000205 (Delaware) | Secondary |
213E00000X | Podiatrist | 01311 (Maryland) | 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. Dr David 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 |
Dr David Gannon, DPM 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 | Dr David Gannon, DPM 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 |
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