| Gregory Gagnon, | |
|
1562 Opossumtown Pike, Frederick, MD 21702-4337 | |
| (240) 566-4500 | |
| (301) 694-5554 |
| Full Name | Gregory Gagnon |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 39 Years |
| Location | 1562 Opossumtown Pike, Frederick, Maryland |
| 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 |
|---|---|---|---|
| 1407854268 | NPI | - | NPPES |
| 758511000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | D39954 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frederick Health Hospital | Frederick, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Frederick Health Hospital Inc | 0446149256 | 125 |
| Gagnon Oncology Llc | 5496913030 | 4 |
| Entity Name | Frederick Health Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982600771 PECOS PAC ID: 0446149256 Enrollment ID: O20040311000363 |
| Entity Name | Gagnon Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376814293 PECOS PAC ID: 5496913030 Enrollment ID: O20120228000537 |
| Entity Name | Frederick Health Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1891154100 PECOS PAC ID: 0446149256 Enrollment ID: O20160516001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Gagnon, 111 Loder St, Hornell, NY 14843-1950 Ph: () - | Gregory Gagnon, 1562 Opossumtown Pike, Frederick, MD 21702-4337 Ph: (240) 566-4500 |
Rizwana Afzal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-566-3421 | |
Gregory Lavanier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 | |
Paul S Schaefer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 67 Thomas Johnson Dr, Suite 4, Frederick, MD 21702 Phone: 301-607-0444 Fax: 301-831-4495 | |
David Rhee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 | |
Matthew Bennett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 | |
Peter Kremers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 | |
Mark Glass-royal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-1720 |