Patrick Russell Gannon, MD - Medicare Orthopedic Surgery in Mcalester, OK

Patrick Russell Gannon, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mcalester, Oklahoma. He went to Washington University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mcalester Medical Services Llc and his current practice location is 1 E Clark Bass Blvd, Suite 210, Mcalester, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 421-6987.

Patrick Russell Gannon is licensed to practice in Oklahoma (license number 20652) 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 1790747426.

Contact Information

Patrick Russell Gannon, MD
1 E Clark Bass Blvd, Suite 210,
Mcalester, OK 74501-4209
(918) 421-6987
(918) 421-6698



Physician's Profile

Full NamePatrick Russell Gannon
GenderMale
SpecialityOrthopedic Surgery
Experience31 Years
Location1 E Clark Bass Blvd, Mcalester, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Patrick Russell Gannon attended and graduated from Washington University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1790747426
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 01/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2466453436
  • Enrollment ID: I20091218000413

Medical Identifiers

Medical identifiers for Patrick Russell Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790747426NPI-NPPES
74502A024OtherOKCHAMPUS
G67583OtherOKSTERLING OPTION 1
1000176970AMedicaidOK
731310891006OtherOKUNICARE
1324230001OtherOKPALMETTO DME
731310891028OtherOKTRICARE SOUTH
0166707OtherOKUMWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 20652 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcalester Regional Health CenterMcalester, OKHome health agency
Angels Care Home Health Of East OklahomaBroken arrow, OKHome health agency
Professional Home HealthSallisaw, OKHome health agency
Compassion Home Care, IncStigler, OKHome health agency
Traditions Home Care, IncMcalester, OKHome health agency
Mcalester Regional Health CenterMcalester, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcalester Medical Services Llc993113902922

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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. Patrick Russell Gannon allows following entities to bill medicare on his behalf.
Entity NameMcalester Regional Health Center Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316940034
PECOS PAC ID: 6709796436
Enrollment ID: O20040303001042

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Entity NameMcalester Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317998
PECOS PAC ID: 9931139029
Enrollment ID: O20050818000234

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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. Patrick Russell 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 AddressPractice Location Address
Patrick Russell Gannon, MD
1245 S Utica Ave, Fl 2,
Tulsa, OK 74104-4214

Ph: (918) 579-2300
Patrick Russell Gannon, MD
1 E Clark Bass Blvd, Suite 210,
Mcalester, OK 74501-4209

Ph: (918) 421-6987

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Orthopaedic Surgery Doctors in Mcalester, OK


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