Dr Joseph Patrick Gannon, PHD in San Diego, CA - Medicare Clinical Psychologist Provider

Dr Joseph Patrick Gannon, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in San Diego, California. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 4445 Eastgate Mall Ste 200, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 705-5439.

Dr Joseph Patrick Gannon is licensed to practice in California (license number PSY12034) 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 1467440347.

Contact Information

	Dr Joseph Patrick Gannon, PHD
	4445 Eastgate Mall Ste 200, San Diego, CA 92121-1979
	(858) 705-5439
	(858) 771-1078

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joseph Patrick Gannon
Gender	Male
Speciality	Clinical Psychologist
Experience	36 Years
Location	4445 Eastgate Mall Ste 200, San Diego, California
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 Joseph Patrick Gannon graduated from medical school in 1988

NPI Data:

NPI Number: 1467440347
Provider Enumeration Date: 10/13/2005
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7911916903
Enrollment ID: I20060420000350

Medical Identifiers

Medical identifiers for Dr Joseph Patrick Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467440347	NPI	-	NPPES
OPL120340	Other	CA	BLUE SHIELD/BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	PSY12034 (California)	Primary

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. Dr Joseph Patrick Gannon allows following entities to bill medicare on his behalf.

Entity Name	Joseph Gannon Phd A Professional Psychology Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277227 PECOS PAC ID: 8022027010 Enrollment ID: O20211108002833

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 Joseph Patrick 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 Joseph Patrick Gannon, PHD 4445 Eastgate Mall Ste 200, San Diego, CA 92121-1979 Ph: (858) 705-5439	Dr Joseph Patrick Gannon, PHD 4445 Eastgate Mall Ste 200, San Diego, CA 92121-1979 Ph: (858) 705-5439

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257

Dr Joseph Patrick Gannon, PHD - Medicare Psychologist in San Diego, CA