| Alison Gagnon, FNP-C | |
|
31039b Hwy 64, Cimarron, NM 87714-9646 | |
| (575) 376-2402 | |
| Not Available |
| Full Name | Alison Gagnon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 31039b Hwy 64, Cimarron, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528515509 | NPI | - | NPPES |
| 573270YM1K | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP-03092 (New Mexico) | Primary |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
| Entity Name | St Vincent Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20100514000911 |
| Entity Name | Miners' Colfax Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20110317000764 |
| Entity Name | South Central Colfax County Special Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215163639 PECOS PAC ID: 6800070707 Enrollment ID: O20111019000475 |
| Entity Name | Cura Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649984667 PECOS PAC ID: 5799143103 Enrollment ID: O20230616001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Gagnon, FNP-C 204 Turf Dr, Raton, NM 87740-2005 Ph: (303) 596-6101 | Alison Gagnon, FNP-C 31039b Hwy 64, Cimarron, NM 87714-9646 Ph: (575) 376-2402 |
Amanda D Sturgeon, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 E 18th St, Cimarron, NM 87714 Phone: 575-300-5729 Fax: 575-215-5003 |