Carl Gannon, PA - Medicare Nurse Practitioner in Everett, WA

Carl Gannon, PA is a medicare enrolled "Nurse Practitioner - Family" in Everett, Washington. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services- Washington and his current practice location is 12800 Bothell Everett Hwy, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 316-5180.

Carl Gannon is licensed to practice in Washington (license number AP60628896) 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 1053668335.

Contact Information

Carl Gannon, PA
12800 Bothell Everett Hwy,
Everett, WA 98208-6642
(425) 316-5180
Not Available



Provider's Profile

Full NameCarl Gannon
GenderMale
SpecialityNurse Practitioner
Experience20 Years
Location12800 Bothell Everett Hwy, Everett, Washington
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:
  • Carl Gannon graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1053668335
  • Provider Enumeration Date: 08/06/2012
  • Last Update Date: 05/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729228531
  • Enrollment ID: I20160714000477

Medical Identifiers

Medical identifiers for Carl Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053668335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 22398 (California)Secondary
363LF0000XNurse Practitioner - Family 22998 (California)Secondary
363LF0000XNurse Practitioner - Family AP60628896 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Hospice And Home Care Of Snohomish CoEverett, WAHome health agency
Providence Regional Medical Center EverettEverett, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services- Washington8325100480420

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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. Carl Gannon allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760

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Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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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. Carl 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
Carl Gannon, PA
Po Box 3360,
Portland, OR 97208-3360

Ph: () -
Carl Gannon, PA
12800 Bothell Everett Hwy,
Everett, WA 98208-6642

Ph: (425) 316-5180

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Danielle Jones sits at her dining room table, studying the recipe for Nerd Lyfe (v2) vape juice. The supplies she's ordered online are arrayed before her: a plastic jug of unflavored liquid nicotine, a baking scale and bottles of artificial flavors that, combined, promise to re-create the fruity taste of Nerds Rope candy in vapor form.

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› Verified 7 days ago


Nurse Practitioner Nurses in Everett, WA

Rita A Kostelik, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1728 W Marine View Dr Ste 6, Everett, WA 98201
Phone: 425-339-5453    Fax: 425-252-4441
Mr. Walter Akwo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10710 Evergreen Way Apt G207, Everett, WA 98204
Phone: 408-806-3840    
Catherine D Norton, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Pacific Ave Ste 501, Everett, WA 98201
Phone: 425-258-7550    
Doreen Yumang-ross, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4526 Federal Ave, Everett, WA 98203
Phone: 425-349-6200    
Desiree Ballesteros, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 130th St Se, Everett, WA 98208
Phone: 425-224-8200    
Morgan L Russell,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 Pacific Ave Ste 500, Everett, WA 98201
Phone: 425-339-5430    
Ms. Barbara Jean Scott, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1721 Hewitt Avenue, Suite 501, Everett, WA 98201
Phone: 425-258-9779    Fax: 425-258-5469

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