| James Gannon, MD | |
|
3580 Arcade St, Vadnais Heights, MN 55127-7135 | |
| (651) 968-5770 | |
| (651) 968-5775 |
| Full Name | James Gannon |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 3580 Arcade St, Vadnais Heights, Minnesota |
| 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 |
|---|---|---|---|
| 1750359881 | NPI | - | NPPES |
| 829862900 | Medicaid | MN | |
| 200028620 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31277 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 410 |
| Summit Orthopedics Ltd | 8921900374 | 259 |
| Entity Name | Summit Orthopedics Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
| Mailing Address | Practice Location Address |
|---|---|
| James Gannon, MD 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: (651) 968-5042 | James Gannon, MD 3580 Arcade St, Vadnais Heights, MN 55127-7135 Ph: (651) 968-5770 |
Edward T Su, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Daren J Wickum, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Jonathan Biebl, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Andrew Charles Ockuly, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 | |
James Timothy Young, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Dr. Steven Demetrious Meletiou, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 | |
Nels D. Leafblad, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 |