Mr John Gerard Lillo, PA in Grants, NM

Mr John Gerard Lillo, PA is a Physician Assistant based in Grants, New Mexico. Mr John Gerard Lillo is licensed to practice in New Mexico (license number 94PA31) and his current practice location is Lobo Canyon Rd, Western New Mexico Corrections, Grants, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 876-8360.

NPI number for Mr John Gerard Lillo is 1790972644 and his current mailing address is Po Box 250, Grants, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790972644.

Contact Information

	Mr John Gerard Lillo, PA
	Lobo Canyon Rd, Western New Mexico Corrections, Grants, NM 87020-0250
	(505) 876-8360
	(505) 876-8357

Map and Direction

Provider's Profile

Full Name	Mr John Gerard Lillo
Gender	Male
Speciality	Physician Assistant
Location	Lobo Canyon Rd, Grants, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1790972644
Provider Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007

Medical Identifiers

Medical identifiers for Mr John Gerard Lillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790972644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	94PA31 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Gerard Lillo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John Gerard Lillo, PA Po Box 250, Grants, NM 87020-0250 Ph: (505) 876-8360	Mr John Gerard Lillo, PA Lobo Canyon Rd, Western New Mexico Corrections, Grants, NM 87020-0250 Ph: (505) 876-8360

Reviews and Comments

Physician Assistant Nurses in Grants, NM

Francis Walter Malaj, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500
Jonathon Michael Lavalley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500 Fax: 505-287-5393

Mr John Gerard Lillo, PA - Physician Assistant in Grants, NM