Tim B Gannon, PA - Medicare Physician Assistant in Santa Fe, NM

Tim B Gannon, PA is a medicare enrolled "Physician Assistant - Medical" in Santa Fe, New Mexico. His current practice location is 3450 Zafarano Dr, Suite C, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 466-5885.

Tim B Gannon is licensed to practice in New Mexico (license number PA2010-0058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780992024.

Contact Information

Tim B Gannon, PA
3450 Zafarano Dr, Suite C,
Santa Fe, NM 87507-2669
(505) 466-5885
(505) 466-5886

Map and Direction




Provider's Profile

Full NameTim B Gannon
GenderMale
SpecialityPhysician Assistant - Medical
Location3450 Zafarano Dr, Santa Fe, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780992024
  • Provider Enumeration Date: 09/21/2010
  • Last Update Date: 10/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0143417915
  • Enrollment ID: I20101206000527

Medical Identifiers

Medical identifiers for Tim B Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780992024NPI-NPPES
25773119MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA2010-0058 (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. Tim B Gannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tim B Gannon, PA
3450 Zafarano Dr, Suite C,
Santa Fe, NM 87507-2669

Ph: (505) 466-5885
Tim B Gannon, PA
3450 Zafarano Dr, Suite C,
Santa Fe, NM 87507-2669

Ph: (505) 466-5885

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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