| Elizabeth Honore Gannon, DO | |
|
11930 Democracy Dr, Reston, VA 20190-5624 | |
| (202) 220-0050 | |
| Not Available |
| Full Name | Elizabeth Honore Gannon |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 11930 Democracy Dr, Reston, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245433572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0116018418 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | DO034874 (District Of Columbia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| One Medstar Primary Care Llc | 0749607307 | 121 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | One Medstar Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417571530 PECOS PAC ID: 0749607307 Enrollment ID: O20200827000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Honore Gannon, DO 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791 | Elizabeth Honore Gannon, DO 11930 Democracy Dr, Reston, VA 20190-5624 Ph: (202) 220-0050 |
Dr. Juan Alberto Trinidad, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Dr, Suite 310, Reston, VA 20190 Phone: 703-709-7225 | |
Dr. Jonathan Bernard Menezes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-709-1500 | |
Kelly Davis Hernandez, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Pinecrest Rd Ste 250, Reston, VA 20191 Phone: 703-476-1050 | |
Dr. Taseen Mir, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11107 Sunset Hills Rd Ste 200, Reston, VA 20190 Phone: 703-876-9300 Fax: 703-876-9811 | |
Dr. Annick Stam-cheatham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11930 Democracy Dr, Reston, VA 20190 Phone: 888-663-6331 Fax: 415-252-7176 | |
Gulnara Charipova, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy Ste 412, Reston, VA 20190 Phone: 703-689-9379 Fax: 703-639-9569 |