| Gina A Canon, PA | |
|
2777 Mile High Stadium Cir, Denver, CO 80211-5222 | |
| (303) 825-8822 | |
| (303) 825-4022 |
| Full Name | Gina A Canon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2777 Mile High Stadium Cir, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194834457 | NPI | - | NPPES |
| 84158239 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2088 (Colorado) | Primary |
| Entity Name | Lutheran Hospital Association of the San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Entity Name | Emergency Service Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097668 PECOS PAC ID: 1557255882 Enrollment ID: O20040209001037 |
| Entity Name | Innova Emergency Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20130724000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina A Canon, PA 2777 Mile High Stadium Cir, Denver, CO 80211-5222 Ph: (303) 825-8822 | Gina A Canon, PA 2777 Mile High Stadium Cir, Denver, CO 80211-5222 Ph: (303) 825-8822 |
Lauren Elizabeth Hillary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 |
Andrea Bishop Navarre, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St # Mc3240, Denver, CO 80204 Phone: 303-436-6000 |
Gillian Feeley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 N Marion St, Denver, CO 80218 Phone: 303-860-7770 |
Kirsten Eriksen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 |
Thia A Gonzales, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 |
Molly E Gilpin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 E 9th Ave, Suite 740, Denver, CO 80220 Phone: 720-941-1778 |
Susan Thielen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 University Blvd, Suite 210, Denver, CO 80206 Phone: 303-333-3388 Fax: 303-333-5094 |