David Gannon, Dpm, Llc in Ocean View, DE - Medicare Podiatrist Provider

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.

Contact Information

	David Gannon, Dpm, Llc
	96 Atlantic Ave, Unit #3, Ocean View, DE 19970-9103
	(410) 629-0222
	(410) 629-0225

Healthcare Provider's Profile

Full Name	David Gannon, Dpm, Llc
Type	Facility
Speciality	Podiatrist
Location	96 Atlantic Ave, Ocean View, Delaware
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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David Gannon, Dpm, Llc - Medicare Podiatrist in Ocean View, DE