| Dr Joe M Gannon, MD | |
|
607 Rue De Brille, New Iberia, LA 70563-2169 | |
| (337) 367-1247 | |
| (337) 365-7496 |
| Full Name | Dr Joe M Gannon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 33 Years |
| Location | 607 Rue De Brille, New Iberia, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992700256 | NPI | - | NPPES |
| 1655091 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 10553R (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alexandria Eye And Laser Center Llc | 4789641010 | 20 |
| Entity Name | Williamson Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699812909 PECOS PAC ID: 9335131192 Enrollment ID: O20040401000144 |
| Entity Name | Leoni 2med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184812414 PECOS PAC ID: 9032174024 Enrollment ID: O20041201000789 |
| Entity Name | Alexandria Eye And Laser Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538120985 PECOS PAC ID: 4789641010 Enrollment ID: O20041217000427 |
| Entity Name | Lsuhn Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
| Entity Name | Gannon Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952975104 PECOS PAC ID: 0042611162 Enrollment ID: O20210628001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joe M Gannon, MD 124 Karolwood Dr, Lafayette, LA 70503-3505 Ph: (225) 718-3764 | Dr Joe M Gannon, MD 607 Rue De Brille, New Iberia, LA 70563-2169 Ph: (337) 367-1247 |
Thomas Davis Curry, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 607 Rue De Brille, New Iberia, LA 70563 Phone: 337-367-1247 Fax: 337-365-7496 | |
Henry Mark Kwong Sr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 607 Rue De Brille, New Iberia, LA 70563 Phone: 337-367-1247 Fax: 337-365-7496 |