| Tim B Gannon, PA | |
|
649 Harkle Rd Ste E, Santa Fe, NM 87505-4765 | |
| (505) 955-9454 | |
| (505) 216-9067 |
| Full Name | Tim B Gannon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 649 Harkle Rd Ste E, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992024 | NPI | - | NPPES |
| 25773119 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2010-0058 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Care Center | 8921043035 | 29 |
| Mailing Address | Practice Location Address |
|---|---|
| Tim B Gannon, PA Po Box 6880, Santa Fe, NM 87502-6880 Ph: (505) 955-9454 | Tim B Gannon, PA 649 Harkle Rd Ste E, Santa Fe, NM 87505-4765 Ph: (505) 955-9454 |
Mr. Mitchell Constant, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1640 Old Pecos Trail, Suite H, Health Front, Pc, Santa Fe, NM 87505 Phone: 505-992-0233 | |
Leah Becker, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 65 Cibola Cir, Santa Fe, NM 87505 Phone: 505-930-1712 | |
Merry Beyeler, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507 Phone: 505-474-5241 Fax: 505-471-4503 | |
Darina Linnik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr Ste 240, Santa Fe, NM 87505 Phone: 505-913-3975 | |
Kimberly A Berge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 433 St Michaels Dr, Santa Fe, NM 87505 Phone: 505-988-1232 Fax: 505-984-1603 | |
Dominic Matthew Guerin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 | |
Miss Emily Catherine Wabick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Beckner Rd Level 2 Pod 2 Ste 2650, Obstetrics And Gynecology - Santa Fe, Santa Fe, NM 87507 Phone: 505-772-2000 Fax: 505-772-1749 |