| Mark P Gannon, MD | |
|
1200 Brooks Lane, 170, Jefferson Hills, PA 15025-3749 | |
| (412) 469-7110 | |
| (412) 469-8965 |
| Full Name | Mark P Gannon |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1200 Brooks Lane, Jefferson Hills, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265437974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD038841E (Pennsylvania) | Primary |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Entity Name | Jefferson Hills Surgical Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487813515 PECOS PAC ID: 5496820946 Enrollment ID: O20080818000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Gannon, MD 1200 Brooks Lane, 170, Jefferson Hills, PA 15025-3749 Ph: (412) 469-7110 | Mark P Gannon, MD 1200 Brooks Lane, 170, Jefferson Hills, PA 15025-3749 Ph: (412) 469-7110 |
Charles W. Cline, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Brooks Lane, 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 Fax: 412-469-8965 | |
Dr. Rebecca Jane Mcclaine, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Brooks Ln, Suite 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 Fax: 412-469-8938 | |
Arnold E Fingeret, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Lane, 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 Fax: 412-469-8965 | |
Dr. Anuj Parikh, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Brooks Ln Ste 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 | |
Laura M Chanlatte De Los Santos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Brooks Ln Ste 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 Fax: 412-469-8938 | |
Samantha Falls, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Brooks Ln Ste 170, Jefferson Hills, PA 15025 Phone: 412-469-7110 |